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YouthCare behavioral health administrative days requests.

YouthCare (DCFS youth in care) physical health administrative days requests.

Specialty medications for HIP, HHW and HCC require PA from Acaria Specialty Solutions (web, fax or voice). Coverage determination voice line: 1-866-399-0928.

MHS behavioral health inpatient prior authorization fax. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

MHS behavioral health outpatient prior authorization fax. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

Behavioral health paper claims, informal disputes and administrative claim appeals; BH payer ID 68068. (One manual passage shows ZIP+4 63640-3817 for this box.)

Dental vendor number printed on MHS member ID cards (provider section).

Pharmacy benefit number printed on MHS member ID cards (RxBIN 003858, PCN MA, Group 2EKA).

Vision vendor number printed on MHS member ID cards (provider section) and in the IHCP quick reference guide for Hoosier Healthwise and Hoosier Care Connect (the guide's HIP section shows 844-820-6523).

Send refund check and documentation for overpayments (within 60 days of identification).

Evolent handles initial orthopedic service requests (Evolent provider portal preferred).

Member/provider appeals of MHS medical necessity decisions (include provider statement). Behavioral health appeals go to the Centene BH appeals address/fax instead.

Physical health paper claims, informal claim disputes (within 60 days of EOP) and administrative claim appeals. EDI payer ID 68069 (medical), 68068 (behavioral). Claims sent to the Indianapolis office are returned.

Pre-arbitration review requests on letterhead within 60 days after the administrative claim appeal decision.

Managed Health Services (Centene) Indiana Medicaid (HIP, Hoosier Healthwise, Hoosier Care Connect): outpatient surgeries/testing PA by fax; same "MHS Provider Fax" printed on member ID cards. Phone PA via provider services 1-877-647-4848.

Right Choices (lock-in) program for HIP, HCC and HHW; phone 877-647-4848. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.

TurningPoint handles initial cardiac service requests for MHS; updates are processed internally by MHS.

Provider screening and enrollment contact per Nebraska Medicaid PSE directory (May 2024).

The current plan contact table explicitly labels 866-769-3085 Member and Provider Services. New Hampshire Healthy Families Medicaid plan context; no Ambetter Marketplace routing is inferred.

Sources conflict: CSP fact sheet lists 833-752-1665 option 1 for provider questions.

From the Oklahoma Complete Health quick reference guide (approved 01/03/2024). Timely filing 180 days. PA fax withheld: two versions of the PA guide list different fax numbers.

Outpatient and inpatient authorization fax (same number). Phone authorizations must be followed by faxed clinical information. Inpatient notification required by next business day.

Paper claims (no handwritten/faxed/replicated forms). Payer ID 68069; timely filing 180 days from date of service. EDI team: EDIBA@centene.com, 1-800-225-2573 ext. 25525. WellKids (CHIP) uses the same P.O. Box with 'WellKids by PA Health & Wellness'.

Pharmacy prior authorizations for CHC. Pharmacy services phone 1-833-750-4504 (also MTM transportation line on the same guide).

Contact if unsure who your Provider Representative is.

PA Health & Wellness (Centene) CHC provider services IVR; also urgent authorization requests and inpatient admission notifications, interpreter services and 24-hour nurse advice line. TTY 711. QRG last updated April 2026.

Behavioral health paper claim submission address.

Dental utilization management. Dental paper claims: Centene Dental – GA Claims, PO Box 22085, Tampa, FL 33622-2085 (provider manual).

Routine vision checks, glasses and contacts.

Cancer treatment authorizations through Evolent online or phone; high-tech imaging also via Evolent. GAMMIS centralized portal used for many requests.

Paper claims / claim adjustments (Attn: Claims Department). ZIP+4 differs between the website (63640-3800) and the August 2026 provider manual (63640-3812), so only the 5-digit ZIP is given.

Rx prior authorization help desk; PA requests by fax or CoverMyMeds.

Pre-service appeals related to denied adverse benefit determinations; provider must have member's written consent.

From 2024 provider quick reference guide still linked on the current forms page; some service types go through the Georgia MMIS centralized PA portal.

Claim appeals (provider manual key contacts). Website lists the same PO Box 3000 (Attn: Provider Appeals) with ZIP+4 63640-3800.

Admissions census and facesheets fax listed for SilverSummit on the Nevada Medicaid contact page.

Behavioral health IP, RTC and PHP authorization requests.

Behavioral health intensive outpatient and outpatient authorization requests.

Case management referrals (phone through provider services).

Credentialing verification organization for SilverSummit: application status and correction of erroneous credentialing information.

Member appeals (members or authorized representatives with written consent) by call, mail or fax; medical necessity appeals are mailed to Attention: Medical Necessity at the same street address.

Medical authorization requests (phone requests through 1-844-366-2880).

Provider contracting email listed for SilverSummit on the Nevada Medicaid contact page (phone 844-366-2880).

Paper claims (Attention: Claims) and claim appeals (Attention: Claims Appeals) go to the same box; EDI payer ID 68069. The manual's sample ID card prints ZIP 63640-5050 for the same box; the key contacts table ZIP is used here.

SilverSummit Healthplan Nevada Medicaid/Nevada Check Up provider services, including the IVR for eligibility and prior authorization (2026 provider manual key contacts). Provider services TTY 1-844-804-6086.

Vision benefit line printed on the SilverSummit member ID card sample in the 2026 manual.