Prior Authorization (PA) Forms for Chronic Pain Management ONLY on Portal

February 1, 2013

Prior Authorization (PA) Forms for Chronic Pain Management ONLY on Portal

PA forms for chronic pain management were posted to the MaineCare webpage as well as the Health PAS Online Portal to ensure they were easily found when first available. The PA forms below are now ONLY available in the Authorizations and Referrals folder of the Provider Forms page of the Health PAS Online Portal:

• PA for Physical Therapy (PT) Services for Chronic Pain Form • PA Fax Cover Sheet for Therapy Services Review

You can contact the PA Unit at 1-866-796-2463 with questions.