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Mississippi Division of Medicaid Advanced Imaging Preauthorization

Breaking News

******** Effective 2/1/2024 Kepro will no longer provide prior authorization services for MS Medicaid members. All Fee for Service Medicaid authorization related business will be handled by Telligen. Please contact Telligen at 1-855-625-7709 for assistance. **********

 

 

Register Now for Telligen MS UM/QIO Qualitrac Provider Portal Training

As previously announced, the Mississippi Division of Medicaid (DOM) will transition to Telligen, a new Utilization Management/Quality Improvement Organization (UM/QIO), on January 16, 2024.

Beginning Tuesday, January 16, 2024, Telligen will begin performing all new prior authorization reviews for fee-for-service (FFS) Medicaid requests. All authorization reviews submitted prior to January 16, 2024, will be completed by Alliant or Kepro by January 31, 2024. Effective February 1, 2024, all FFS Medicaid authorization related business will be handled by Telligen.

Telligen has prepared the following Provider Training Schedule and invites all Mississippi Medicaid Providers to participate in upcoming virtual training sessions. Training will give Providers a comprehensive overview of Qualitrac, Telligen’s robust portal system for authorization requests. Please use the registration links below to choose the session(s) you wish to attend.

The General Authorization sessions are geared towards providing a general overview of submitting authorizations in our Qualitrac system. The service specific training sessions provide a deeper dive into submitting authorizations for those service types.

Training Sessions:

Session 1: January 2, 2024, 10:00 AM CST Register Session 1 General Authorization     

Session 2: January 2, 2024, 2:00 PM CST Register Session 2 General Authorization

Session 3: January 3, 2024, 10:00 AM CST Register Session 3 General Authorization

Session 4: January 3, 2024, 2:00 PM CST Register Session 4 General Authorization

Session 5: January 4, 2024, 10:00 AM CST Register Session 5 General Authorization

Session 6: January 4, 2024, 2:00 PM CST Register Session 6 General Authorization

Session 7: January 5, 2024, 10:00 AM CST Register Session 7 General Authorization

Session 8: January 5, 2024, 2:00 PM CST Register Session 8 Behavioral Health Authorization

Session 9: January 8, 2024, 10:00 AM CST Register Session 9 Inpatient Authorization

Session 10: January 8, 2024, 2:00 PM CST Register Session 10 Dental Authorization

Session 11: January 9, 2024, 10:00 AM CST Register Session 11 Advanced Imaging Authorization

Session 12: January 9, 2024, 2:00 PM CST Register Session 12 DME Authorization

Session 13: January 10, 2024, 10:00 AM CST Register Session 13 Behavioral Health Authorization

Session 14: January 10, 2024, 2:00 PM CST Register Session 14 PRTF Authorization

Session 15: January 11, 2024, 10:00 AM CST Register Session 15 DME Authorization

Session 16: January 11, 2024, 2:00 PM CST Register Session 16 Dental & Vision Authorization

Session 17: January 12, 2024, 10:00 AM CST Register Session 17 Hospice Authorization

Session 18: January 12, 2024, 2:00 PM CST Register Session 18 PT/ST/OT Authorization

Session 19: January 16, 2024, 10: 00 AM CST Register Session 19 Hearing Authorization

Session 20: January 16, 2024, 2:00 PM CST Register Session 20 ICF/IID Authorization

Session 21: January 17, 2024, 10:00 AM CST Register Session 21 Advanced Imaging Authorization

Session 22: January 17, 2024, 2:00 PM CST Register Session 22 Vision Authorization

Session 23: January 18, 2024, 10:00 AM CST Register Session 23 Dental Authorization

Session 24: January 18, 2024, 2:00 PM CST Register Session 24 PAD Authorization

Session 25: January 19, 2024, 10:00 AM CST Register Session 25 Behavioral Health Authorization

Session 26: January 19, 2024, 2:00 PM CST Register Session 26 PRTF Authorization

Session 27: January 22, 2024, 10:00 AM CST Register Session 27 Inpatient Authorization

Session 28: January 22, 2024, 2:00 PM CST Register 28 PT/ST/OT Authorization

Session 29: January 24, 2024, 10:00 AM CST Register Session 29 Hospice Authorization

Session 30: January 24, 2024, 2:00 PM CST Register Session 30 Private Duty Nursing Authorization

Session 31: January 26, 2024, 10:00 AM CST Register Session 31 Dental Authorization

Session 32: January 26, 2024, 2:00 PM CST Register Session 32 EPSDT Authorization

Session 33: January 29, 2024, 10:00 AM CST Register Session 33 PT/ST/OT Authorization

Session 34: January 29, 2024, 2:00 PM CST Register Session 34 Hearing Authorization

Session 35: January 30, 2024, 10:00 AM CST Register Session 35 Inpatient Authorization

Session 36: January 30, 2024, 2:00 PM CST Register Session 36 Advanced Imaging Authorization

Session 37: January 31, 2024, 10:00 AM CST Register Session 37 Dental & Vision Authorization

Session 38: January 31, 2024, 2:00 PM CST Register Session 38 PAD Authorization

REMINDER: Stay tuned for additional upcoming training sessions! Telligen will have more informative sessions planned to further support Mississippi Medicaid Providers in handling authorization requests.

Providers are encouraged to keep an eye on Telligen’s website https://msmedicaid.telligen.com/ for announcements regarding future training sessions. Telligen is committed to providing ongoing learning opportunities to enhance your skills and optimize the care provided to FFS Medicaid beneficiaries.

Should you need assistance, please contact Telligen’s Customer Service at: 1-855-625-7709.

Visit Telligen’s Mississippi UM/QIO website to register for portal access. Look for the Provider Portal Registration option, as indicated in the red box below. https://msmedicaid.telligen.com.

 

Please note: Prior authorizations for members enrolled in MississippiCAN and CHIP will continue to be handled by the respective coordinated care organization.

 

New Prior Authorization Provider Portal Available for Registration

As previously announced, the Mississippi Division of Medicaid (DOM) will transition to Telligen, a new Utilization Management/Quality Improvement Organization (UM/QIO), in early 2024.

To ensure you have adequate time to transition we ask that beginning December 1, 2023, providers begin registering with Telligen for the purpose of submitting prior authorization requests for Medicaid fee-for-service (FFS) members. Telligen will be the UM/QIO vendor to replace the following:

  • Alliant Health Solutions ̶ responsible for medical authorization requests
  • Kepro(formerly eQHealth Solutions) ̶ responsible for advanced imaging authorization requests

Providers are advised to visit Telligen’s Mississippi UM/QIO website beginning December 1, 2023 to register for portal access. Look for the Provider Portal Registration option, as indicated in the red box below. https://msmedicaid.telligen.com.

 

Please note: Prior authorizations for members enrolled in MississippiCAN and CHIP will continue to be handled by the respective coordinated care organization.