Reminder: Prior Authorization (PA) Cover Sheets

August 29, 2012

PA requests for medical services and Durable Medical Equipment can be submitted to MaineCare/MIHMS either by fax or by Direct Data Entry (DDE) on the My Health PAS- Online Portal. If you submit a PA via fax, it is necessary to fill in all of these fields on the cover sheet. Failure to fill in all mandatory fields may result in a rejection of the PA request and the request will be returned to you. Also, whenever additional information is submitted in support of an active PA, the “Prior Authorization Supporting Documents or Updates Cover Sheet” is required.

The cover sheets are located on the Health PAS-Online Portal. If you have questions regarding PA requests, please contact Provider Services at 1-866-690-5585.