5/13/2026

Submitting PAs for therapy services

MS Mediciad LBN 5/7/2026– When submitting prior authorization (PA) requests to Telligen for Therapy services, please include the appropriate modifier on the PA that will be used when billing the associated Therapy claim. This will prevent claim denials for duplicate services. Modifiers listed on the PA must match exactly with the modifier on the corresponding claim.

The following modifiers are acceptable for therapy services:

GN – Outpatient Speech Language Service
GO – Outpatient Occupation Therapy Service
GP – Outpatient Physical Therapy Service

Please note that this requirement applies to Prior Authorization (PA) requests submitted moving forward beginning May 7th.

• No action is needed from providers for any cases submitted prior to May 7th.
• For any new PA requests submitted on or after May 7th, the required modifier(s) must be appended at the time of submission.
• Any PA request submitted on or after May 7th with a missing modifier will result in a Request for Information (RFI). To respond to the RFI, providers will be required to submit a Change Request Form or Word document identifying the appropriate modifier(s) to be added to the authorization request.

Reminder: When entering an authorization request in the Telligen Qualitrac portal, the treating provider is considered the therapy provider (group or individual) who will render the therapy services.  The ordering provider must be a physician, physician assistant or nurse practitioner. 

4/7/2026

User Auto-Deactivation After 90 Days of Inactivity – Effective 4/8/26 

Provider Practice Users or an Authorized Official Users with more than 90 days without logging in, will get an email prompting them to login five days prior.  If they still do not login, the account will be inactivated.  In those situations, users need to contact Telligen Provider Help Desk at 855-625-7709 or by email msmedicaidum@telligen.com, if needed.   Currently the system inactivates after 9 months.  The change, effective 4/8/26, will shorten that timeframe to 90 days but will now include an email notification 5 days prior.

3/13/2026

Swing Bed Service Type Restored – Effective 3/13/26 

The technical transmission issue affecting the “Swing Bed” service type has been resolved.  Effective March 13, 2026, providers should submit all Swing Bed authorization requests in Qualitrac using the following selections:

•  Review Type: Inpatient Hospital
• Type of Service: Swing Bed
  
                  Providers may discontinue using the comment section to indicate that the submitted request is for “Swing Bed.”

📞 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 an administrative denial. 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