To request an authorization (coverage determination) for services (medical or I/DD Waiver), contact your patient’s Interdisciplinary Team (IDT) or call our Utilization Management department at 1-855-769-2508.

Your may fax a prior authorization request form and clinical documentation to our Utilization Management department at 1-855-769-2509.

Mail us an authorization request for services (medical or I/DD Waiver) at:

PHP Care Complete FIDA-IDD Plan
Utilization Management
222 W. Las Colinas Blvd. Suite 500N
Irving, TX 75039

To request a coverage determination for any prescription drugs, you should submit a Medicare Prescription Drug Coverage Determination request form for your patient.

To file an appeal for services (medical or I/DD Waiver), you can:

Call our appeals department at 1-855-769-2508; OR

Fax your appeal to us.  Our fax number is 1-855-769-2509; OR

Write your appeal and mail it to us at:

PHP Care Complete FIDA-IDD Plan
Appeals Department
222 W. Las Colinas Blvd. Suite 500N
Irving, TX 75039

To file an appeal related to prescription drugs, you can submit a Request for Redetermination of Medicare Prescription Drug Denial on behalf of your patient, fax your appeal to us:

 2022 Appeal Requests

• Phone: 1-888-648-6759
• Fax: 1-858-790-6060

Call Provider Services at 1-855-747-5483
or TTY/TDD: 711

Fax your grievance to us.  Our fax number is 1-844-566-8296

Write your grievance and mail it to us at:

Effective 6/30/23 - Please mail your grievance to:
Partners Health Plan
P.O. Box 240356
Apple Valley, MN 55124

Most grievances are answered in 30 calendar days. If possible, we will answer you right away. If you call us with a grievance, we may be able to give you an answer on the same phone call.

If you need a response faster because of the health of your patient, we will give you an answer within 48 hours after we get all necessary information (but no more than 7 calendar days from the receipt of your grievance).