Medicaid Utilization Control Agent Transition and Medical Eligibility Reviews

The Department is pleased to announce that Telligen was competitively selected to become Medicaid’s utilization control agent. Please see the memos and transmittals below for all communication sent to providers. Additionally, all updated and fillable forms are available on this site for download.
 
Please visit Telligen's website for more information.
  
Nursing Facility Level of Care Related Forms
 
H​ospital Related Forms

 

Memoranda and Transmittals

 

 UCA_Communications

 
  
  
February 24, 2017 - Pediatric Hospitals CSR Process.pdf
  
February 24, 2017 Chronic Hospital CSR Process.pdf
  
PT 28-17 Process for Submitting Retroactive Eligibility Cases to Telligen.pdf