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:
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 2024: Click Here
Prior Authorization Fax Form: Click Here
Change Request Form: Click Here
InterQual Tip Sheet: Click Here
Discharge Information Task Tip Sheet: Click Here
Instructions on how to register for the portal: Click Here
Register Now for Telligen August 2024 Provider Portal Training:
Click Here
The activation link and password sent via email upon successful registration will remain valid for a duration of 7 days only.
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.
