MCO Process Request Now Hiring State-Wide Make A Referral Areas We Serve Frequent Questions Make A Payment Client First Name(Required) First 5 Letters of Last Name(Required) Client's 9 Digit Insurance ID(Required) Type of Request(Required)Select OneInstant AuthorizationAssessment ReviewTreatment Plan Approval (including 6 month updates)Authorization for Testing or Rehab (please upload discharge documents for rehab)Clinician Name(Required) Clinician Email(Required) Upload Files Drop files here or Select files Max. file size: 50 MB. Demographic pages, 6 month surveys, treatment plan signature pages. *If these forms were completed online you do not need to upload anything. Δ
