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PROVIDER RESOURCES > PROVIDER DOCUMENTS
Everything you need to understand your coverage.
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Plan Resources
Model of Care Training
Patient Transfer Request Form
Provider Manual
Quality Improvement Resource Guide
Waiver of Liability Form
HEDIS Coding Tips Guide
ECHO EFT ERA Companion Guide
ECHO EFT ERA Enrollment Form
Request for Referral Form
Part D Resources
Part D Prior Authorization Criteria - Advantage Care (HMO)
Part D Prior Authorization Criteria - Premier Care (HMO I-SNP)
Part D Prior Authorization Criteria - Senior Care (HMO I-SNP)
Part D Drug Step Therapy Criteria - Advantage Care (HMO)
Part D Drug Step Therapy Criteria - Premier Care (HMO I-SNP)
Part D Drug Step Therapy Criteria - Senior Care (HMO I-SNP)
Prescription Drug Determination Request
Prescription Drug Determination Request (Español)
Prescription Drug Redetermination Request
Prescription Drug Redetermination Request (Español)
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