General Clinical Prior Authorization


Medications requiring Clinical Prior Authorization (PA) for Kansas Medicaid are listed in the links below. Use this table to identify if a specific medication requires Clinical PA and which Clinical PA criteria and PA form should be used to request authorization from the patient's specific health plan (MCO/FFS). 

Please note, medications requiring Clinical PA may also have to meet Non-preferred PDL PA criteria before the claim may be considered for payment and this will be designated on the PA form. For drugs that are new to the market and not listed in the links above, view the List of Drugs Under Review page.

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