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Durable Medical Equipment (DME) providers are required to obtain prior authorization (PA) for certain services before delivery of the services. The prior authorization (PA) process is a paper process. Providers are encouraged to submit their PA requests by facsimile (fax) to 573-659-0207. The following criteria apply when submitting PA requests by fax:

  • Only one PA request may be submitted per fax call. Multiple PA requests per call will not be processed. Please do not mail PA requests that have been faxed.
  • Attachments to the PA request should not be scaled down in an attempt to fit multiple pages on one sheet, this causes the document to be difficult to read. Requests that are not legible will be returned to the provider for resubmission.
  • Use a business fax cover sheet, when faxing the PA request. The cover sheet should include the return fax number. This will assist in the return of disposition letters by fax.
  • Regardless if the PA request is approved or denied, providers will receive a MO HealthNet Authorization Determination (disposition) letter containing all of the detail information related to the PA request. Please ensure the fax number from which the PA request is sent is not a blocked number. A blocked fax number will prevent the disposition letter from being returned by fax and delay notification. Disposition letters that cannot successfully be returned via fax will be mailed to the provider.

A list of DME services requiring prior authorization can be found in Section 19 - Procedure Code of the DME MO HealthNet provider manual.

PA requests can also be completed and mailed to:

Infocrossing Healthcare Services
PO Box 5700
Jefferson City, MO 65102-5700

Services submitted on a PA request should not be provided/delivered until an approved PA has been received. Do not resubmit a PA request until a MO HealthNet Authorization Determination letter (disposition letter) has been received.

Do not mail a PA which has been faxed. Request for Changes (RFC) – process is outlined: Section 8.7, REQUEST FOR CHANGE (RFC) OF PRIOR AUTHORIZATION (PA) REQUEST.