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July 27, 2016

Medical Care Unit

The goal of the Medical Care Unit is to ensure that appropriate medical services are provided in accordance with state and federal regulation, statutes, and policies. 

The Medical Care Unit is responsible for the service areas listed below. Click on the links to learn more about these areas, and find prior authorization forms.  

(208) 364-1833

(208) 287-1157 or
(800) 362-7648  

(208) 364-1839   

(208) 364-1996   

(208) 364-1833    

(208) 287-1173   

(208) 364-1996 or
(866) 205-7403  

(208) 364-1807    

(208) 364-1996    

(208) 364-1833

Hospice

(208) 364-1833

Lead Screening Program

(208) 364-1835

Non-Emergency Medical Transportation

(208) 287-1173 or
(800 296-0509 #1173

Preventive Health Assistance (PHA)

(208) 364-1843 or
(877) 364-1843

Qualis Case Management

(208) 364-1835

Surgery and Procedures

(208) 364-1833

Therapy Services

(208) 364-1833

Vision

(208) 364-1833

The status of a prior authorization request may be checked online at the Molina Health PAS portal under “Authorization Status”, using your NPI, or by contacting Molina at (866) 686-4272.

If a CPT code requires a prior authorization it will be marked on the Medicaid Fee Schedule. Prior authorizations are either processed by Qualis Health or by the MCU. Please, contact Molina at (866) 686-4272 if you have additional questions.

For other questions, or general information, about the Medical Care Unit, contact (208) 364-1974.

Pharmacy Information

Prior authorizations for physician administered drugs are processed by the Medicaid Pharmacy Unit

The Pharmacy Call Center may be contacted at (208) 364-1829, or toll-free (866) 827-9967.