Qualitrac Login

Web application used by healthcare providers to submit clinical care requests for review

Provider Portal Registration

New users need to register to gain access to Qualitrac. Registration takes less than 10mins.

InterQual Clinical Decision Criteria

This tool provides seamless, read-only access to the InterQual criteria to better align decision-making with current policies.

Telligen UM, CM, and QIO Services for the State of Mississippi

Welcome to the Telligen website supporting Utilization Management, Care Management, and Quality Improvement Organization (QIO) services for the Mississippi Division of Medicaid. This site is built to provide easy access to the Qualitrac provider portal for submitting clinical cases, as well as current news and resources that pertain to the Telligen contract with the state. Please use the Contact page if you have any questions or encounter issues with the website.

Important:

Temporary Removal of “Swing Bed” Service Type Due to Technical Issues

All Providers,

We want to inform you that the “Swing Bed” service type is temporarily unavailable due to technical transmission errors. Our team is actively working to resolve this issue and will notify you as soon as the swing bed option is restored.

In the meantime, please submit all swing bed requests using the service type “Inpatient Admission.” To help ensure accurate processing, please enter “Swing Bed Review” in the comments section of your request.

If you have any questions or need further assistance, please contact our Provider Help Desk:
📞 Phone: 855-625-7709
📧 Email: msmedicaidum@telligen.com

We appreciate your patience and cooperation.

All Providers: Prior authorizations for members enrolled in MississippiCAN and CHIP will continue to be handled by the respective coordinated care organization. If we receive an authorization request for a MississippiCAN or CHIP member, providers will receive a decision of Outcome Not Rendered. The authorization will then need to be submitted to the respective coordinated care organization.

 

Inpatient Update:  The default code for entering any inpatient authorization request is 99233.  Providers do not have to change this code.  Additional procedure codes may be added, but it is not required for inpatient authorization requests. Providers may still enter the respective diagnosis codes needed on the authorization request.

MS Prior Authorization Listing: Click Here

Register Now for Telligen February 2025 Provider Portal Training:

Click Here

Provider News

Temporary Removal of “Swing Bed” Service Type Due to Technical Issues

Dear Providers, We want to inform you that the "Swing Bed" service type is temporarily unavailable due to technical transmission errors. Our team is actively working to resolve this issue and will...

Making a Difference in Mississippi: Care Management Team’s Community Outreach

The Mississippi Care Management recently made a donation to a community organization during a time of need In a recent display of community support, our Mississippi Care Management team made a...

Register for General Monthly Qualitrac Q&A Sessions

Qualitrac Q&A Sessions: March 11,2025, 2:00 PM CST This session is a general introduction to Qualitrac and is open to all users. It provides an overview of Qualitrac navigation, authorization...

Register for Therapy Review Training

Therapy Review Training This training is specifically catered to providers who submit Therapy (ST, OT, PT) review types, including Speech, Occupational, and Physical therapy. The session will...

Upcoming Events