MedicaidPrior AuthMedium impact
Physician Administered Drugs: Prior Authorization Requirements
Mississippi Medicaid (DOM)·MS · Physical Therapy, Occupational Therapy, Speech Therapy·Prior Authorization
Effective date
May 7, 2026
We identified it
Jun 21, 2026
Summary
Mississippi Medicaid now requires specific therapy modifiers (GN for speech, GO for occupational therapy, GP for physical therapy) on all prior authorization requests for therapy services. Missing modifiers will result in a Request for Information (RFI) requiring additional documentation.
Action Required
By May 7, 2026: When submitting prior authorization requests to Telligen for therapy services in Mississippi, billing team must include appropriate modifiers: GN for speech therapy, GO for occupational therapy, GP for physical therapy. Update PA submission workflows in Qualitrac portal to require modifier selection. Modifiers on PA must exactly match those used on corresponding claims. Missing modifiers will trigger RFI requiring Change Request Form submission.