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  Thursday, October 19, 2017
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(click to hide) Alert Message posted 10/13/2017
Planned Maintenance for Sunday, October 22, 2017 12:01 am EDT through 2:00 pm EDT
On Sunday, October 22, 2017, beginning at 12:01 a.m. EDT, DXC Technology will be performing an infrastructure upgrade to the Georgia Medicaid Management Information System (GAMMIS). We anticipate this planned outage will take 14 hours to perform. Normal operations should resume at 2:00 p.m. EDT on Sunday, October 22, 2017, unless otherwise notified.

All Georgia Medicaid systems will be unavailable during this maintenance. We apologize for any inconvenience and ask that you plan accordingly.

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Prior Approval Process

This section contains documentation related the Prior Approval Process.

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Prior Approval Process (12 rows returned) List

Prior Approval Process (12 rows returned)

 TitleFile TypeSize (KB)Release Date 
Emflaza Prior Authorization Request FormPDF133.910/17/2017 
Synagis Policy Statement RSV Season 2017-2018PDF221.310/12/2017 
Atypical Antipsychotics PA Request Form PDF93.209/07/2016 
Multi-Ingredient Compound Drug PA Request FormPDF64.309/07/2016 
Proton Pump Inhibitors PA Request Form PDF148.601/04/2016 
Synagis PA Request FormPDF126.401/01/2016 
Nursing Facility Prior Authorization Issue Correction StepsPDF422.802/16/2015 
Tobacco Cessation PA Request FormPDF6605/01/2014 
Makena PA Summary PDF129.404/16/2014 
Georgia Watch FormPDF40.601/16/2013 
Non-Preferred Statin Request FormPDF121.901/16/2013 
PA Request Process GuidePDF131.310/24/2011 
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