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Express Scripts, Inc. (DIV MENU) Prior Authorization Dept. BL 0345 6625 West 78th Street Bloomington, MN 55439 Phone: (877) 558-7523 Fax: (800) 357-9577 Minnesota Health Care Programs Prior Authorization
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MHCP PA forms refer to the Minnesota Health Care Programs Prior Authorization forms. These forms are used by medical providers to request prior authorization for certain medical services or procedures for their patients.
Medical providers who wish to request prior authorization for medical services or procedures for their patients are required to file MHCP PA forms.
To fill out MHCP PA forms, medical providers need to provide relevant patient and provider information, describe the requested medical service or procedure in detail, and include any supporting documents or clinical documentation to support the need for prior authorization.
The purpose of MHCP PA forms is to ensure that medical services or procedures requiring prior authorization meet the necessary criteria for coverage and reimbursement under the Minnesota Health Care Programs.
MHCP PA forms typically require the reporting of patient demographics, medical provider information, details about the requested medical service or procedure, clinical justification, and any supporting documentation.
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