Provider Online Services

Public Programs:


Employers:

Tools and Materials




ICD Transition

ICD-10 FAQs

 

Outpatient Treatment Request (OTR) Form

MBH Outpatient Treatment Request Form (online submission)

 

Provider Newsletter

Provider Alert - Credentialing

Provider Alert - Texas CHIP ID Number Conversion effective 10/1/2013

Provider Alert - New Contact Information

Provider Alert - State of Maryland providers

Provider Newsletter - Winter 2009

 

CPT Code Resources

2013 Psychotherapy CPT Code Crosswalk
 

Guide to Enhanced UM Model for Facilities

Guide to Enhanced UM Model for Facilities
 

Provider Manual

APS Provider Manual (with ICD-10 revisions)

CHC Provider Manual (related to Texas Medicaid and CHIP) (via CHC website)

Hawaii Provider Manual 2009

 

Outpatient Treatment Review Forms

APS Outpatient Treatment Review form

State of Maryland Uniform Treatment Plan

 

Advocate Medicare Advantage Criteria

Important Information for APS Providers Servicing Advocate Medicare Advantage Members

National Criteria Determination (NCD)

Local Coverage Determinations (LCD)

 

Utilization Management Criteria

ASAM Criteria

BH Medical Necessity and Level of Care Criteria

TAC Criteria (Texas Administrative Code - CD Criteria)

(Texas) Resiliency & Disease Management UM Guidelines - Child

(Texas) Resiliency & Disease Management UM Guidelines - Adult

 

Utilization Management Core Documents

2012 UM Program Evaluation - CNR Partners

2014 UM Program Description

2013 UM Work Plan
 

Quality Improvement Core Documents

2012 QIProgram Evaluation

2013 QIProgram Description

2013 QI Work Plan
 

Privacy Notice

Notice of Privacy Practices

 

Provider/Member Educational Tools

PACE - Physician Asthma Care Education

Asthma Control Test

 

Member Rights and Responsibilities

Commercial & Medicare Rights and Responsibilities Statement

Medicaid Rights and Responsibilities Statement

CHIP Member Rights and Responsibilities (pages 151-153)

 

EDI Claims Submission

837 Professional Companion Guide

 

Advocate/HMOI Providers

Provider Alert - Complex Case Management

 


*If you do not have Adobe Acrobat Reader , you can download it for free.