Learn more about coronavirus (COVID-19)
Arizona Wildfires - impacted members please call 1-800-424-5891 (TTY 711)
Click on the link to the forms you need to access. Download a copy and follow the instructions on the form.
Crisis Response Network Provider Submission Portal
Network Management Forms
Utilization Management Prior Authorization
Utilization Management Forms
*Form must be submitted via email on a secure server and password protected to the MCH/EPSDT Program Manager at MCCofAZMissedAppointments@magellanhealth.com.
EPSDT Tracking Forms