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8.3.2.3 Nonemergency Prior Authorization and Retroactive Eligibility
If a client's Medicaid eligibility is pending, a PAN must be requested before a nonemergency transport. This request will be initially denied for Medicaid eligibility. When Medicaid eligibility is established, the requestor has 95 days from the date that the eligibility was added to TMHP's files to contact the TMHP Ambulance Unit and request that authorization be reconsidered.
To inquire about Medicaid eligibility, providers can contact the Automated Inquiry System (AIS) at 1-800-925-9126.
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