Bilateral Tubal Ligation with Salpingectomy or Oophorectomy
PCS Medical Necessity Guideline
PDN SNV PPECC Medical Necessity Guideline
Respiratory and GI Molecular PCR Panel Testing
TMPPM Children Services Handbook Volume 2, Section 2.3, Medicaid Autism Services Policy-
DHP Utilization Management
Ph: 1-877-455-1053
Fax: 1-866-741-5650
DHP STAR Kids LTSS Services
Ph: 1-844-376-5437
Fax: 1-844-381-5437
Hours of Operation:
Monday – Friday 8 a.m. – 5 p.m. (CST) (Except state holidays)
Messages will be returned within one business day.