MSADI | Providers

Training Materials

******** 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. **********

DIVISION OF MEDICAID BREAKING NEWS

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.

Training Calendar

MS Medicaid Advanced Diagnostic Imaging Provider Education Webinars

There are no webinars scheduled at this time. Please check back for future webinar schedules.

Education and Forms

Provider Manual and Quick Reference Guides

This manual should be used in conjunction with the MS Division of Medicaid's Administrative Code and Provider Billing Rules.

MS Advanced Diagnostic Imaging Provider Manual

Quick Reference Guides

How to Submit a New Request

How to Add A User

How to Add Chrome Browser

How to Complete A Saved Request

How to Reset A Password or Unlock an Account

How to Update User Profile

How to View a Determination Letter

How to Add Supporting Documentation

How to Make a Revision to a Submitted Review

Webinar Presentations

February 2023 PowerPoint

Prior Authorization Information

The Prior Authorization Form should only be used when access to the Atrezzo web portal is temporarily unavailable. Please contact 866 740 2221 if you are having difficulty logging into the portal.

Retrospective Authorization requests may be submitted using the Prior Authorization Request form when the Atrezzo web portal is temporarily unavailable.

MS Advanced Imaging Prior Authorization Request Form

Reconsiderations

When an adverse decision (denial based on medical necessity) has been made on a prior authorization request, the member or provider may request a Reconsideration within 30 days of the adverse determination letter. Please refer to the Advanced Imaging Provider Manual for more details. A reconsideration request CANNOT be made for Technical Denials.

This form should only be used when access to the Atrezzo web portal is temporarily unavailable.

MS Advanced Imaging Reconsideration Form

Videos

MS ADI Provider Portal Create A Case Wizard

MS ADI Adding and Managing Users

MS ADI Provider Registration

MS ADI Provider User Training

Questions and Answers

Atrezzo Web Portal Q & A

Accessing Atrezzo

First time Log in/Registration Instructions:

1. If you currently have a Kepro account for other lines of business, please email msadihelp@kepro.com with your name, phone number, Kepro username and NPI AND MS Medicaid number of the group you are needing access to. Kepro staff will provide access to the MS Medicaid contract under your established Kepro account. New registration is not required.

2. If your group has never used Kepro for other lines of business, the Provider Group Administrator will need to register the group or hospital NPI for the first time and create each user an account. A short tutorial video can be found in the Video section.