Site maintenance scheduled Sunday, April 21, 2019, 6 a.m.-12 noon (Central): During this time, Provider Search may be unavailable. We apologize for any inconvenience.
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