How do I get a Medicaid number changed on a CHMS prior authorization?
If you are unable to bill using the beneficiary’s new Medicaid number, complete the Medicaid number change form and fax it to 479-649-0776. Include the child’s old Medicaid number, new Medicaid number and the prior authorization number(s) that will need to correspond with the new Medicaid number. An approval listing will be mailed out to you with the next day’s mail showing that the new Medicaid number has been linked to the prior authorization(s). Allow 48 to 72 hours before you start billing with the new Medicaid number.