Click on the link to the forms you need to access. Download a copy and follow the instructions on the form.
Network Management Forms
Utilization Management Prior Authorization
Utilization Management Forms
Authorization to Use and Disclose (AUD) Form
*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