Common use of Prior Authorization Clause in Contracts

Prior Authorization. A determination to authorize a Provider’s request, pursuant to services covered in the MississippiCAN Program, to provide a service or course of treatment of a specific duration and scope to a Member prior to the initiation or continuation of the service.

Appears in 12 contracts

Sources: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco)

Prior Authorization. A determination to authorize approve a Provider’s request, pursuant to services covered in the MississippiCAN Program, to provide a service or course of treatment of a specific duration and scope to a Member prior to the initiation or continuation of the service.

Appears in 3 contracts

Sources: Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Coordinated Care Organization (Cco), Contract Between the State of Mississippi Division of Medicaid and a Care Coordination Organization

Prior Authorization. A determination to authorize approve a Provider’s request, pursuant to services covered in the MississippiCAN MississippiCHIP Program, to provide a service or course of treatment of a specific duration and scope to a Member prior to the initiation or continuation of the service.

Appears in 1 contract

Sources: Mississippichip Program Regulatory Requirements Appendix