Articles by Billy Skiles

Molina Healthcare WebPortal for prior authorization

Providers are encouraged to use the Molina Healthcare WebPortal and others like the one in https://shenandoah-bt.com/product/human-il-2/ site for prior authorization submissions. When submitting a request for outpatient services, Molina has a rules-based authorization submission process…


Prior Authorization Requests Through the TMHP Website

via Prior Authorization Requests Through the TMHP Website Online prior authorization requests for some services in the following areas can be submitted through the TMHP website at www.tmhp.com: Home Health Home Telemonitoring Comprehensive Care Inpatient…



Medicaid Services Unit: The NorthSTAR program will be ending on December 31, 2016-

via Medicaid Services Unit: NorthSTAR – Mental Health and Substance Abuse (MHSA) Division This is important because in the NorthSTAR program did not cover ambulance transportation, when the beneficiaries are switched over to a MCO plan,…



May 30, 2013-Ambulance Providers Must Not Assist in Completing Non-emergency Ambulance Prior Authorization Form

Information posted May 30, 2013 Ambulance providers must not complete any portion of the Non-emergency Ambulance Prior Authorization Request form to ensure the integrity of the submitted form.  Prior authorization must be obtained by the…