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Authorizations &

Appeals

Authorization Requests

Due to PHP’s FIDA-IDD Plan ending on 12/31/2025, we are not processing new authorization requests. If you have any questions, please contact Provider Services at 1-855-747-5483.


Appeals

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

To file or follow up on an appeal for dates of service on or before 12/31/2025, please contact Provider Services at 1-855-747-5483.

Grievances

PHP’s FIDA-IDD Plan ended on 12/31/2025 and the timeframe to submit grievances has expired.

Authorization Request Forms & Submission Instructions

Authorization Requirements

Waiver of Liability Form

Need Provider Assistance?

The Partners Health Plan Network Development and Provider Relations team is here to assist you with your billing, claims, authorization, education, and any other general inquiry. Use the Contact Us button below to complete a Provider Ticket Submission Form.

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