Telligen to replace Alliant Health Solutions and Kepro as Medicaid UM/QIO Vendors:
Early in 2024, the Division of Medicaid (DOM) will transition to a new Utilization Management/Quality Improvement Organization (UM/QIO) vendor, Telligen.
Telligen will replace the following vendors:
- Alliant Health Solutions, who was responsible for medical authorization requests for fee-for-service (FFS) Medicaid members, and
- Kepro (formerly eQHealth Solutions), who was responsible for advanced imaging authorization requests for FFS Medicaid members.
To ensure a smooth transition, Telligen web portal registration instructions and educational materials will be shared in the upcoming weeks through a variety of communication avenues to ensure no provider lacks access to necessary resources and assistance. Updates will also be publicized on the DOM website and Late Breaking News.
Please note: Prior authorizations for members enrolled in MississippiCAN and CHIP will continue to be handled by the respective coordinated care organization.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.