Provider News...
Please check the Providers page under What’s New for updates on our ERA, EFT and Provider Disclosure processes.
Attention PACT Program registered offices:
Click this link to log onto our PACT text message site for OB/GYNs.
Tools for Primary Care Clinicians
NCQA Quality Improvement Connection
Your educational resource and gateway to CME Performance (PI) activities.
Cultural Competency CME Courses
Practitioner Application Process
Disclosure Form Requirement
Practitioner Application Screening Form
Facility / Organization Application Process
Disclosure Form Requirement
Facility Questionnaire
Billing Alerts
Attention Coders & Billers
Consultation Codes
ICD-9-CM Coding Persistency
Provider NDC Billing Notice
APPEALS AND RESUBMISSIONS
Provider Appeal Form
Claim Resubmission Form
Claims Reconsideration vs Provider Appeal Process
Timely Filing Criteria
CLINICAL POLICIES AND CLINICAL DECISIONS
Clinical Policy Bulletins
Clinical Decision Making Hierarchy
CLINICAL PRACTICE GUIDELINES
Treatment of Alcohol and Other Drug Dependence
Treating Patients with Asthma
Treating Patients with COPD
Treating Chronic Heart Failure in Adults
Treating Patients with Diabetes
Routine Prenatal and Postpartum Care
Treating Patients with Major Depressive Disorder
Treating Patients with Major Depressive Disorder in Primary Care
BEHAVIORAL HEALTH
Behavioral Health Provider Forms
Behavioral Health Benefit Conversion form
SPECIALTY PHARMACY INFORMATION
August 2007 Specialty Pharmacy Provider Letter
October 2008 Specialty Pharmacy Update Letter
DPCI Specialty Pharmacy Authorization Form
PROVIDER NEWSLETTERS
PROVIDER MANUAL
PROVIDER FORMS
Electronic Remittance (ERA) Enrollment Form
Physical Health Provider Forms
Prior Authorization Form
Cancelled Check Request Form
Member Non Compliance Form
Perinatal Risk Assessment Form
Credentialing Application Addendum
EFT Auth Form
National Coding FAQ's
Frequently Asked Questions (FAQ)
Common Questions
PROVIDER RESOURCES
RESOURCES A - C
Anticipatory Guidance Guidelines
Ask Me 3
Cultural Competence
RESOURCES D - H
Deficit Reduction Act Policy
DPCI Contract Attachment
Depression Health Questionnaire
Diabetes Self Management Program
RESOURCES M - N
Member Roster Access Changes
Member Rights and Responsibilities
MedSolutions Announcement Letter to Providers
MedSolutions Quick Reference Guide
National Coding FAQ's
RESOURCES P - Z
DPCI Urgent Care Providers
Pharmacy PA Guidelines
Sample Remittance Advice
Provider Refund process
Link to NPI Registry
EFT Authorization Enrollment Form
Provider Disclosure Statement
Pharmacy Prior Authorization Guidelines
Amevive PA Guidelines
Botox® and Myobloc® PA Guidelines
Colony Stimulating Factors Guideline
Enbrel PA Guidelines
Erythropoiesis Stimulating Agents Guideline
Growth Hormone Use PA Guidelines
Humira PA Guidelines
Hyaluronic Acid Derivatives PA Guidelines
Orencia PA Guidelines
Remicade PA Guidelines
Vivitrol PA Guidelines
Xolair PA Guidelines
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