If you are a MS MEDICAID PRESCRIBER,
please submit your PA requests via the Envision Web Portal for most efficient processing.
If you are a MS MEDICAID PRESCRIBER, but are not a registered
MS ENVISION WEB PORTAL USER, click
here to register
For MS Medicaid prescribers who are unable to submit
PA via the web portal, fax your request to DOM-Pharmacy PA Unit at 1-877-537-0720.
Upcoming Drug Prior Authorization Form Changes
– The 2013 State Legislature passed a bill that directs Health Insurance Issuers
and the Division of Medicaid to use a single, standardized prior authorization form
for obtaining any prior authorization for prescription drug benefits.
HB 301 Legislative Bill Summary