You can attend MCO stakeholder's meetings to communicate issues or concerns.
Each MCO hosts stakeholder's meetings for members and providers to attend to discuss issues and concerns. Call the MCO to find out when and where the next meeting will be held.
Prior authorizations for members to receive a service or benefit are requested by the provider or pharmacy, not the member.
If a member needs a specific service or benefit and it requires a prior authorization, providers are expected to submit the prior authorization on behalf of the member.
Each MCO has tools and resources specifically designed for providers.
Providers should stay up-to-date on policies and procedures to ensure the highest quality of care for members. Follow the provider-specific links below to find newsletters, training documents, resources and updates from each MCO: