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.
H9869_PHPWeb_Authorizations and Appeals_2022_Pending