Authorization and Registration
Service Authorization Forms, Registration Forms, Authorization Forms and Peer Support Service Forms
New Process for Submitting Service Authorizations for All Behavioral Health and ARTS Services
The Department of Medical Assistance Services (DMAS) is making significant changes to the process used to submit service authorization requests for Fee-for-Service (FFS) members. Effective November 1, 2023, all providers who provide services to Medicaid and FAMIS members will submit service authorizations to Acentra Health (formerly known as KePro).
Service Authorization Forms
For ASAM Levels 2.1/2.5/3.1/3.3/3.5/3.7/4.0