Find the right department

Follow the form instructions and choose the correct product and provider-contract status. This address is not generalized to all provider appeals. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

Medi-Cal member assistance for the plan’s two-county area; the county determines enrollment eligibility. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

Hours withheld: claims page lists 8:30 a.m.–4 p.m., department page adds noon–1 p.m. lunch closure, and disputes page lists 8 a.m.–5 p.m. The original-claim PO Box is separate from claim corrections. The legacy pharmacy/MedImpact address is not imported. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

Status inquiries only. Select Medi-Cal or CareConnect and contracted/non-contracted status on the official page for the correct dispute/appeal forms. No universal appeal mailing address is inferred; conflicting published phone hours are left blank. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

The same Provider Services number is expressly listed for both counties. No member eligibility is inferred from the office location. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026). Urgent authorizations and admission notifications: call and follow the prompts.

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026). Authorization/medical-necessity denials go to the Appeals address instead.

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026).

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026).

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026). Original red claim forms only; FFS payer ID 14163.

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026).

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026). Includes after-hours and weekends. Coverage determination fax 1-888-877-8239.

From the 'Ohana Health Plan Hawaii QUEST Integration Quick Reference Guide (May 2026). 48 hours notice on-island, 3 business days off-island; Ride Assist 1-866-481-9699.

Medicaid peer-to-peer requests after a medical-necessity denial (email, fax, or phone 866-433-6041 ext. 63907) and appeals/grievances fax per the manual. Administrative denials are not eligible for P2P.

Medicaid assessments fax; the manual lists the same number for notification of pregnancy.

All potential or impending transplant cases must be coordinated through the Central Transplant Unit; transplant fax 866-535-6974 is listed in the PA fax table but the same fax appears on another Centene plan for a different purpose, so it is not set here.

Single fax listed for face sheets, inpatient requests, medical records (UM) and census reports; manual also lists it for concurrent review/clinical information.

Inpatient behavioral health prior authorization fax (Medicaid).

Medical PA fax for Absolute Total Care Medicaid (Medical Management phone 1-866-433-6041, 8 a.m.–6 p.m. ET weekdays). Not for the Wellcare by Absolute Total Care D-SNP, which has its own fax.

Outpatient behavioral health prior authorization fax (Medicaid).

First-time paper medical claims. Electronic medical payer IDs: 68069 (Availity/Emdeon/Envoy), 42772 (Relay Health), 68055 (Allscripts/Payerpath).

Buy-and-bill (provider-administered) drug PA fax.

Same number as member services.

SCDHHS lists (866) 433-6041 for business office, member services and prior authorization.

From SCDHHS MCO contact page via search snippet; page versions differ.

Appeals/grievances fax from the Ambetter provider quick reference guide. Post-service provider appeals may be limited to mail and the provider portal in some states; read the state guide.

Fax listed under 'Care and Disease Management Referrals' in the Ambetter provider quick reference guide. Not for prior authorization requests unless the guide lists the same fax for that use.

Pharmacy Services line listed in the Ambetter provider quick reference guide with the plan's BIN/PCN/group; for pharmacy claims and coverage determination questions, not for medical authorizations.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.

Fax listed under 'Care and Disease Management Referrals' in the Ambetter provider quick reference guide. Not for prior authorization requests unless the guide lists the same fax for that use.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.

Georgia guide: mail appeals to Atlanta; mail grievances to P.O. Box 10341, Van Nuys, CA 91410. Appeals fax 1-866-532-8855, grievances fax 1-833-886-7956.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Fax listed under 'Care and Disease Management Referrals' in the Ambetter provider quick reference guide. Not for prior authorization requests unless the guide lists the same fax for that use.

Prior authorization fax from the Ambetter provider quick reference guide (Marketplace). The guide says submitting requests online with the PA forms gives the fastest results and that a Pre-Auth Needed tool shows whether PA is required; urgent requests are phoned in to Provider Services, then followed by a fax of clinical information.

Ambetter Marketplace (exchange) provider quick reference guide, January 2026 edition: Provider Services IVR; the same guide directs urgent authorization requests and inpatient admission notification to this number. Refer to the member ID card for the correct plan and authorization/claims process.