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MSI Program
(Providers' Information)
P.O. Box 355
Santa Ana, Ca 92702
Phone (714) 834-6248

Provider Alerts, Downloads and News

Program Alerts

Download

DRA Notice, April 2008 DRA Notice, April 2008 - PDF document
DRA Letter–Phase III DRA Letter-Phase III - PDF document
Initial CO Income Letter Initial CO Income Letter - PDF document
Common drug interactions - April 2007 Fiscal Intermediary Transition Update - PDF document
PHYSICIANS EDUCATION GRAM©
Treatment Options in Acute Pain
February 2007
Fiscal Intermediary Transition Update - PDF document
Fiscal Intermediary Transition Update
June 6, 2006
Fiscal Intermediary Transition Update - PDF document
MSI Program Alert-24/7 Nurseline
October 7, 2005
download MSI Provider Prgram Alert- pdf document
MSI Program Alert-Laboratory Service
October 7, 2005
download MSI Provider Prgram Alert- pdf document

Provider Downloads and News

Download

Prior Authorization Criteria MSI Updated download PACriteria MSI - PDF document
New Prior Authorization (PA)/ Step Therapy Criteria for Thiazolidinedione (TZD) download New Prior Authorization (PA)/ Step Therapy Criteria for Thiazolidinedione (TZD) - PDF document
MSI-AMM Agreement September 2007-February 2009 download Dental Fees Matrix - PDF document
Drug Authorization Request Form
Dental Fee Matrix download Dental Fees Matrix - PDF document
30 Day Temporary Eligibility Guidelines download 30 Day Temporary Eligibility Guidelines - pdf version

MSI E/R ICD9 Code List

MSI E/R ICD9 Code List- pdf file
RxAmerica Pharmacy List download Caremark Pharmacy Listing-pdf version
Drug Formulary Information

Drug Formulary Lists – June 2008

Drug Formulary Guidelines – June 2008

Drug Formulary Rules – June 2008

Drug Formulary Switch List – June 2008

SNF Formulary – June 2008


download Drug Formulary sorted by brand name-pdf version

download Drug Formulary sorted by generic name-pdf version

download Drug Formulary sorted by generic name-pdf version

download Drug Formulary sorted by generic name-pdf version

download SNF Formulary – June 2008 - pdf version

MSI-AMM Agreement FY 06-07

Quest Diagnostics Locations  downloadt-Quest Diagnostic PSCl pdf document
Medical Services Initiative Provider Manual

2008 edition is currently being updated

about downloading files 

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HCA Mission: Excellence, Integrity and Service