Prior Authorization for OCFS Members with an Adults and Children’s Services Coverage code

April 12, 2011

Providers have not been able to submit prior authorizations electronically for some members with Office of Children and Family Services (OCFS) as the eligibility plan. We are currently working to resolve this issue. (Please note this does not apply to APS Prior Authorization requests)

In the meantime, if you are submitting a prior authorization for one of these members, please submit these requests by fax at 1-866-598-3963 or by mail:

PA Unit Office of MaineCare Services 11 State House Station Augusta, Me 04330

Electronic submissions will not process correctly. The instructions on submitting authorizations using the paper method of submission can be found in the Prior Authorization Manual on the MIHMS portal.

OCFS members with a PA Only coverage code should continue to submit directly to the Office of Children and Family Services according to that Agency’s instructions.