Policy & Regulations
Eligibility Policy and Procedures Manual
Waivers
Intellectual & Developmentally Disabled (ID/DD)
Traumatic Brain & Spinal Cord Injury (TBI/SCI)
Pharmacy
Preferred Diabetic Supplies List
Drugs Requiring Prior Authorization
Vaccines Covered Through Pharmacy Billing
Over the Counter Covered Drugs
Clinician Administered Drugs and Implantable Drug System Devices
Billing & Prior Authorizations
Comprehensive Fee Schedule (.xls)
Ambulatory Fee Schedule (.xls)
Searchable Fee Schedule (MESA Portal)
Prior Authorization Procedure Codes
Provider Information & Forms
Medical Assistance Participation Agreement
Electronic Funds Transfer (Direct Deposit Authorization Form)
Provider Six-Month Recredentialing Due List
Provider Six-Month License Due List
Provider Six-Month Revalidation Due List
Maternal/Postpartum Risk Screening Form
Eligibility
Pamphlets
- Fair Hearings
- Reporting Requirements
- Medicare Cost Sharing
- SSI and Former SSI (DAC, COL, Widower)
- Working Disabled