Provider Newsletter
|
Format
|
Format
|
|
Provider Alert - New Contact Information
|
.pdf
|
.zip
|
|
Provider Alert for State of Maryland providers
|
.pdf
|
.zip
|
|
Provider Newsletter - Winter 2009
|
.pdf
|
.zip
|
Provider Manual
|
Format
|
Format
|
|
APS Provider Manual 2011
|
.pdf
|
.zip
|
|
CHC Provider Manual (related to Texas Medicaid and CHIP)
|
.pdf (via CHC website)
|
|
Hawaii Provider Manual 2009
|
.pdf
|
.zip
|
Outpatient Treatment Review Forms
|
Format
|
Format
|
|
APS Outpatient Treatment Review form
|
.pdf |
.zip |
|
State of Maryland Uniform Treatment Plan
|
.pdf |
.zip |
Utilization Management Criteria
|
Format
|
Format
|
|
ASAM Criteria
|
.pdf
|
.zip
|
|
BH Medical Necessity and Level of Care Criteria
|
.pdf
|
.zip
|
|
TAC Criteria (Texas Administrative Code – CD Criteria)
|
.pdf
|
.zip
|
|
(Texas) Resiliency & Disease Management UM Guidelines - Child
|
.pdf |
.zip |
|
(Texas) Resiliency and Disease Management UM Guidelines - Adult
|
.pdf |
.zip |
Utilization Management Core Documents
|
Format
|
Format
|
|
2010 UM Program Evaluation – CNR Partners
|
.pdf |
.zip |
|
2011 UM Program Description
|
.pdf |
.zip |
Quality program results
|
Format
|
|
|
2011 QI Program Description
|
.pdf |
|
Privacy Notice
|
Format
|
|
Notice of Privacy Practices
|
.pdf |
Provider/Member Educational Tools
|
Format
|
|
PACE - Physician Asthma Care Education
|
website
|
|
Asthma Control Test
|
website
|
Member Rights and Responsibilities
|
Format
|
Format
|
|
Commercial and Medicare Rights and Responsibilities Statement
|
.pdf
|
.zip
|
|
Medicaid Rights and Responsibilities Statement
|
.pdf
|
.zip
|
|
CHIP Member Rights and Responsibilities (pages 151-153)
|
.pdf (via CHC website)
|
EDI Claims Submission
|
Format
|
Format
|
|
837 Professional Companion Guide
|
.pdf
|
.zip
|
Advocate/HMOI Providers
|
Format
|
Format
|
|
Provider Alert - Complex Case Management
|
.pdf
|
.zip
|
*If you do not have Adobe Acrobat Reader , you can download it for free.
**If you do not have WinZip , you can download an evaluation copy for free.
