Provider Resources
Provider Checklists
Coversheet
Admission Criteria
Fax Numbers for Requests for Authorization
Applied Behavior Analysis: (888) 515-2067 toll-free
Waivers:
- Jackson Class Urgent: (877) 850-7269 toll-free
- MCO Client Information Update Requests: (888) 562-2755 toll-free
- Mi Via Participants: (800) 251-9993 toll-free
Urgent Fee for Service Prior Authorizations:
(out-of-state providers & infrequent users—submit less than 12 requests per year)
(888) 562-2755 toll-free
Qualis Health Provider Portal
The Qualis Health Provider Portal is a web-based application for submitting authorization requests.
Go to the Qualis Health Provider Portal
Getting Started: Register
Get started by registering to use the Qualis Health Provider Portal. Complete the appropriate forms in the registration packet and email them to Qualis Health. We will contact you once we receive your registration packet.
Download the Qualis Health Provider Portal registration packet
Qualis Health Provider Portal Resources
- Quick Start Guides
- System Updates
- User Guide (August 25, 2016)
- Administrator Guide (August 15, 2017)
- Frequently Asked Questions
- Training Videos - General Information
- Training Videos - Submitting Requests
- On-demand Training
Learn how to use the Qualis Health Provider Portal in just one 30–60 minute training session. The session is only for your site or team, so you get only the information that's important to you.
Email Qualis Health at nmtraining@qualishealth.org to schedule your training.
Provider Notices
Introduction to Qualis Health's Services
- Download this flyer for more information about the Level of Care Review services we provide and how to access those services.
- Download this flyer for more information about the Utilization Management Review for Fee for Service services we provide and how to access those services.
Adobe Acrobat® PDF files can be opened using Adobe Acrobat Reader. If you do not have Reader, you can get it free from the Adobe website.