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Forms & publications
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Appendix A - Use interactive voice response (IVR) to verify eligibility
Using the Medical Assistance Customer Service Center's interactive voice response system to check client eligibility.
Provider guideAppendix B - Verifying eligibility using a magnetic card reader or MEV service
General information on how to obtain eligibility through the use of a magnetic card reader or MEV service.
Provider guideAppendix C - Managed care organizations (MCOs)
Contracted managed care organization information.
Provider billing guideAppendix D - Casualty claims and health insurance claims
General description of casualty and health insurance claims.
Provider guideAppendix E - Benefit services packages
Definitions of the different eligibility programs that are offered through Medicaid.
Provider guideAppendix F - Instructions to fill out the General Information for Authorization Request form
Instructions on how to complete the General Information for Authorization Request form.
Provider guideAppendix G - How to check status of an authorization
Directions on how to check status of authorization requests through ProviderOne and the interactive voice response system.
Provider guideAppendix H - Cover sheets for backup documentation
Describes what types of cover sheets are available and when to use them to submit additional information.
Provider guideAppendix I - Taxonomy and ProviderOne
This document will provide you with a definition of what a taxonomy is and how to verify it is attached to your provider file and allowed for the service being billed.
Provider guideAppendix J - Medicare crossover claim payment methodology
A description of how Medicaid will pay your crossover claims.
Provider guide