Maine.gov
Provider Help Desk: (p) 888-420-9711 (f) 800-408-1088 | Member Help Desk: (p) 866-796-2463 (f) 207-287-8601
Prior Authorization (PA) Helpdesk (for Provider PA inquiries): (p) 888-445-0497 (f) 888-879-6938

Pain Management Archives

Name Description Date
PA Waiver Form 183.21 KB 2016/08/26
Pharmacy Referral Form 217.14 KB 2016/08/26
Physician Referral Form 204.07 KB 2016/08/26
Pain Management Policy 224.41 KB 2016/01/12
PA Waiver Form 139.67 KB 2013/10/10
PA Waiver Form 50.82 KB 2012/06/26
Pharmacy Referral Form 63.02 KB 2012/06/26
Physician Referral Form 56.87 KB 2012/06/26