Government Relations Archives

12212020_AccessTransgenderServices_Fax
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

12212020_Auth_Process_Update_Fax_Email
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

12Tips-Working-With-Interpreter
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

2020_PTA_ABCQI_Charter_Fillable
Amit Karkhanis, Naomi Kawabata, Pending 2024 Review, Veronica Lozano
Kho qhov link

2020_PTA_ABCQI_Charter_Sample
Amit Karkhanis, Naomi Kawabata, Pending 2024 Review, Veronica Lozano
Kho qhov link

2020_PTA_ABCQI_SMART_Activity
Amit Karkhanis, Naomi Kawabata, Pending 2024 Review, Veronica Lozano
Kho qhov link

20201216_321570-H_Pfizer_StandingOrders-319pm
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

20201216_321629-E_VTF_ScreenChecklistContraPrec
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

2021-Provider-Satisfaction-Survey-Executive-Summary
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

2022 CBI Rhiav Webinar Slides
Kristen Rohlf, Pending 2024 Review
Kho qhov link

2022 Facility Site Review (FSR) Tool Effective July 1 2022
DeAnna Leamon, Pending 2024 Review
Kho qhov link

2022 Medical Record Review (MRR) Tool effective July 1, 2022
DeAnna Leamon, Pending 2024 Review
Kho qhov link

2022_FSR Provider Check List_final
DeAnna Leamon, Pending 2024 Review
Kho qhov link

2022_MRR Provider Check List_final
DeAnna Leamon, Pending 2024 Review
Kho qhov link

2022_Provider_Workbook_Final
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

2023 Medi-Cal EOC with cover
Megan Sims, Pending 2024 Review
Kho qhov link

2023_Medi-Cal EOC_Final_Hmong_web
Megan Sims, Pending 2024 Review
Kho qhov link

2023_Medi-Cal_EOC_Sp
Megan Sims, Pending 2024 Review
Kho qhov link

2023-CBI-Workbook-Final
Britta Vigurs, Hilary Gillette-Walch, Kristen Rohlf, Pending 2024 Review
Kho qhov link

2023-CBI-Workshop-Webinar-FAQs
Britta Vigurs, Hilary Gillette-Walch, Kristen Rohlf, Pending 2024 Review
Kho qhov link

2023-CBI-Workshop-Webinar-Slides
Britta Vigurs, Hilary Gillette-Walch, Kristen Rohlf, Pending 2024 Review
Kho qhov link

2024 CBI Workbook_Final
Britta Vigurs, Georgia Gordon, Pending 2024 Review
Kho qhov link

2024 CBI Workshop Webinar FAQs
Britta Vigurs, Georgia Gordon, Pending 2024 Review
Kho qhov link

2024 CBI Workshop Webinar Slides_10-04-2023
Britta Vigurs, Georgia Gordon, Pending 2024 Review
Kho qhov link

2R_Minors-Rights-Statement
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

401-F-CBI-MMA-H-V4
Kristen Rohlf, Pending 2024 Review
Kho qhov link

401-F-CBI-MMA-S-V4
Kristen Rohlf, Pending 2024 Review
Kho qhov link

401-F-CBI-MMA-V4
Hilary Gillette-Walch, Kristen Rohlf, Pending 2024 Review
Kho qhov link

Daim ntawv thov tus neeg txhais lus ntsej muag ntsej muag

405-F-CM-InterpreterRequest_V3_Fillable
Desirre Herrera, Pending 2024 Review
Kho qhov link

Cov Kev Pab Txhais Lus Zoo Daim Ntawv Pov Thawj Zoo

405-F-CM-ISQA-V1_Fillable
Desirre Herrera, Pending 2024 Review
Kho qhov link

405-F-CM-Referral-V1_Fillable
Jennifer Mockus, Julie Norton, Pending 2024 Review
Kho qhov link

ABCQI_EP_3_Process_Maps_Resources_Final
Amit Karkhanis, Naomi Kawabata, Pending 2024 Review, Veronica Lozano
Kho qhov link

Addressing-Food-Insecurity_Final
Cori Lambert, Jessica Finney, Pending 2024 Review
Kho qhov link

Hais Txog Tsev thiab Kev Noj Qab Haus Huv

Addressing-Housing-and-Health_Final
Cori Lambert, Jessica Finney, Pending 2024 Review
Kho qhov link

AdvanceDirective_Eng
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

AdvanceDirective_Span
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Alliance Txoj Cai Kev Coj Ua
Pending 2024 Review, Rebecca Seligman
Kho qhov link

Alliance qhov Kev Pab Cuam Txog Kev Ua Raws Txoj Cai
Pending 2024 Review, Rebecca Seligman
Kho qhov link

Alliance-Benefits-Guide-2024
Daryl Von Haunalter, Pending 2024 Review
Kho qhov link

Alliance-EDI-Companion-Guide-270-271-Information
Kim McNeely, Pending 2024 Review
Kho qhov link

Alliance-EDI-Companion-Guide-276-277-Cov ntaub ntawv
Kim McNeely, Pending 2024 Review
Kho qhov link

Alliance-EDI-Companion-Guide-Trading-Partner-Information
Kim McNeely, Pending 2024 Review
Kho qhov link

Alliance-EDI-Companion-Guide-Transaction-Instruction
Kim McNeely, Pending 2024 Review
Kho qhov link

Alliance-Provider-Directory-API-Documentation
David Davison, Pending 2024 Review
Kho qhov link

Allied_Credentialing_Application
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

AUTH_STATUS_REQUEST
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Kev tso cai rau tus kws kho mob coj tus cwj pwm thiab tus kws kho mob thawj zaug los qhia cov ntaub ntawv tsis pub lwm tus paub
Pending 2024 Review, Rebecca McMullen
Kho qhov link

Kev tso cai rau tus kws kho mob tso cov ntaub ntawv tsis pub lwm tus paub rau Carelon Behavioral Health
Pending 2024 Review, Rebecca McMullen
Kho qhov link

AUTORIZACIÓN DEL MIEMBRO PARA UTILIZAR O REVELAR INFORMACIÓN MÉDICA PROTEGIDA
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Beacon_CCAH_PCP_Referral_Form
Pending 2024 Review, Shaina Zurlin
Kho qhov link

BHO-Autism-Screening
Jennifer Mockus, Julie Norton, Pending 2024 Review
Kho qhov link

Blood_Lead_Testing_Flyer
Desirre Herrera, Pending 2024 Review
Kho qhov link

Breastfeeding_Benefit_Description
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Carelon-Behavioral-Health-of-California-Authorization-to-Release-Confidential-Information-Spanish
Pending 2024 Review, Rebecca McMullen
Kho qhov link

CBAS_Inquiry_Form
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

CBI Benchmarks_Perf Improv_FINAL (2)
CJ Vansant, Pending 2024 Review
Kho qhov link

CBI Benchmarks_Perf_Improv
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

CBI-Tech-Specs
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

cbi-tech-specs_2024
Kristen Rohlf, Pending 2024 Review
Kho qhov link

CCAH_Data_Submission_Guide
Joana Castaneda, Pending 2024 Review
Kho qhov link

CE Standards_2022
Leslie Stucky, Pending 2024 Review, Tisha Criswell
Kho qhov link

Certification_Debarment
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Certification_Regarding_Lobbying
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Chemotherapy_Injectables_Prior_Authorization_Information Request
Navneet Sachdeva, Pending 2024 Review, Yasuno Sato
Kho qhov link

Child_and_Adult_IZ_QI_Postcard
Kristen Rohlf, Pending 2024 Review
Kho qhov link

Medi-Cal Daim Ntawv Qhia Txog Kev Pabcuam Muaj Peev Xwm Muaj Peev Xwm 2020

COM_2020-impact-report
Cori Lambert, Jessica Finney, Pending 2024 Review
Kho qhov link

COM_2021-Impact-Report_pages
Cori Lambert, Jessica Finney, Pending 2024 Review
Kho qhov link

CORP_Delegation-Model_D_EN
Pending 2024 Review, Rebecca Seligman
Kho qhov link

CORP_health-equity_booklet-web
Tseem tos 2024 Review
Kho qhov link

CORP_Procedure-Code-Lookup-Tool-Job-Aid_D_EN
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Corrected_Claim_Form
Pending 2024 Review, Sharlene Gianopoulos
Kho qhov link

Daim Qhia Txog Cov Kev Kho Mob Uas Pab Them Rau

Covered_Benefits_Matrix_EN
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Covered_Benefits_Matrix_HM
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Covered_Benefits_Matrix_SP
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Credit_Balance_Report
Kay Lor, Pending 2024 Review
Kho qhov link

Daim Foos Thov Them Nyiaj Rov Qab Rau Tswvcuab

Daim Ntawv Foos Thov Them Nyiaj Rov Qab Rau Tus Tswvcuab
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Daim Ntawv Foos Thov Tus Kheej Rau Ib Tus Neeg Sawv Cev
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Kev Npaj Sau Cov Ntaub Ntawv
Naomi Kawabata, Pending 2024 Review
Kho qhov link

Depression_Toolkit
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

ECM Learning Session 1 Monterey County
Jennifer Mockus, Pending 2024 Review
Kho qhov link

ECM Learning Session 1 Santa Cruz County
Jennifer Mockus, Pending 2024 Review
Kho qhov link

ECM_Webinar Day in the LIfe-Practical Tips
Jennifer Mockus, Pending 2024 Review
Kho qhov link

ECM_Webinar1_ECM101
Jennifer Mockus, Pending 2024 Review
Kho qhov link

ECM_Webinar2_ECMAssessment
Jennifer Mockus, Pending 2024 Review
Kho qhov link

ECM-CS-Bootcamp-Back-to-Basics-Training
Pending 2024 Review, Valda Wythe
Kho qhov link

EDI_Claims_Enrollment_Form_INSTRUCTIONS
Kim McNeely, Pending 2024 Review
Kho qhov link

EDI-Claims-Enrollment-Form
Kim McNeely, Pending 2024 Review
Kho qhov link

Enterprise_Systems_List
Jenifer Mandella, Kat Reddell, Nicole Krupp, Pending 2024 Review
Kho qhov link

Examples_Project_Objectives_Activities_and_Measurements
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

Exhibit_U-1-SBC-IHSS-2018
Megan Sims, Pending 2024 Review
Kho qhov link

Exhibit_U-1-SBC-IHSS-2018_SP
Megan Sims, Pending 2024 Review
Kho qhov link

F SporeTestingJobAid_FINAL
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

FAQ_HEDIS
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

Flow process chart directions
Amit Karkhanis, Britta Vigurs, Pending 2024 Review
Kho qhov link

Formulario de Reclamo de Reembolso para Miembros
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Formulario de Solicitud de un Representante Personal
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

daim ntawv teev cov tshuaj noj
Navneet Sachdeva, Pending 2024 Review, Yasuno Sato
Kho qhov link

A to Z Glossary of Spanish & Hmong Terms.

Glossary_of_Terms
Desirre Herrera, Pending 2024 Review
Kho qhov link

Daim ntawv tsis txaus siab FAQ_NDN TAG Form HM_v082021

Daim ntawv tsis txaus siab FAQ_NDN TAG Form HM_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Daim ntawv tsis txaus siab FAQ_NDN TAG Form_SP_v082021

Daim ntawv tsis txaus siab FAQ_NDN TAG Form_SP_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Daim Ntawv Tsis Txaus Siab-FAQ_NDN TAG Form ENG_v082021
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Grievance_Tracking
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

HealthEducation-DiseaseManagementForm_v1
Hilary Gillette-Walch, Kristen Rohlf, Pending 2024 Review
Kho qhov link

IBCLC_Consultants_and_Vendor_List
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

ID_of_Overpayment_Form
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

IHSS_EOC_ENG
Megan Sims, Pending 2024 Review
Kho qhov link

IHSS_EOC_SP
Megan Sims, Pending 2024 Review
Kho qhov link

IncentiveSummary_Final
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

Instructions_for_Budget_Narrative
Cori Lambert, Pending 2024 Review
Kho qhov link

KK-Complaint-and-Appeal-Form_ENG_v072021
Pending 2024 Review, Sarah Sanders
Kho qhov link

KK-Complaint-and-Appeal-Form_SP_v072021
Pending 2024 Review, Sarah Sanders
Kho qhov link

Locum_Tenens_Notification
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Long Term Support Services
Melissa Kelly-Ortega, Pending 2024 Review
Kho qhov link

Long_Term_Care_Treatment_Authorization_Request
Pending 2024 Review, Tammy Brass
Kho qhov link

LTSS Liaison cov ntaub ntawv tiv tauj
Melissa Kelly-Ortega, Pending 2024 Review
Kho qhov link

MC-Complaint-and-Appeal-Form_ENG_v072021
Pending 2024 Review, Sarah Sanders
Kho qhov link

MC-Complaint-and-Appeal-Form_HMG_v072021
Pending 2024 Review, Sarah Sanders
Kho qhov link

MC-Complaint-and-Appeal-Form_SP_v072021
Pending 2024 Review, Sarah Sanders
Kho qhov link

Medi-Cal Daim Ntawv Qhia Txog Kev Pabcuam Muaj Peev Xwm Muaj Peev Xwm Tshaj Tawm 2019

MCGP_ImpactReport_2020-web
Cori Lambert, Jessica Finney, Pending 2024 Review
Kho qhov link

Medi-Cal_Diagnostic_Evaluation
Pending 2024 Review, Rebecca McMullen
Kho qhov link

Medical_Clearance_for_Dental_Anesthesia
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

MEM_2021-website-launch_F_ENG
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

MEM_2021-website-launch_F_HM
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

MEM_2021-website-launch_F_SP
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

MEM_IHSS-Benefit-Matrix_SP
Megan Sims, Pending 2024 Review
Kho qhov link

MEM_IHSS-Benefits-Matrix_EN
Megan Sims, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_13yr-Olds_E
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_13yr-Olds_HM
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_13yr-Olds_SP
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_E
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_E
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_HM
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_HM
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_SP
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Member-Incentives_2yr-Olds_SP
Desirre Herrera, Pending 2024 Review
Kho qhov link

MEM_Online-Provider-Directory-Tutorial_ENG
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Daim Foos Thov Them Nyiaj Rov Qab Rau Tswvcuab
Megan Sims, Pending 2024 Review, Yasuno Sato
Kho qhov link

Member_Appt_No_Show_Notification
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Daim Ntawv Thov Pab Pawg Pab Tswv Yim Rau Cov Kev Pab Cuam Tswv Cuab

Member_Services_Advisory_Group_Application_EN
Kayla Zoliniak, Pending 2024 Review
Kho qhov link

Member Services Advisory Group Application Hmong

Member_Services_Advisory_Group_Application_HM
Kayla Zoliniak, Pending 2024 Review
Kho qhov link

Member Services Advisory Group Application Spanish

Member_Services_Advisory_Group_Application_SP
Kayla Zoliniak, Pending 2024 Review
Kho qhov link

COV NTAUB NTAWV YUAV TSUM TAU TXAIS LUB SIJ HAWM LOS NTAWM LUB TSEV KAWM NTAWV KEV PAB CUAM KEV PAB CUAM
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

MNT_Quick_Reference_Guide
Hilary Gillette-Walch, Pending 2024 Review
Kho qhov link

New_Non_PCP_Training
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

New_Provider_Training
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

New-Provider-ECM-Community-Supports-Training-Sign-Off-Form
Jennifer Mockus, Pending 2024 Review
Kho qhov link

Notice of Intent-Amend – CCAH – 2024
Evan Eurs, Pending 2024 Review
Kho qhov link

Notice-of-Nondiscrimination-and-Accessibility
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Notice-of-Nondiscrimination-and-Accessibility-Hmong
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

Notice-of-Nondiscrimination-and-Accessibility-Spanish
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

NoticePrivacyPractice_2021
Ka Vang, Pending 2024 Review, Rebecca Seligman
Kho qhov link

NoticePrivacyPractice_2021_HM
Ka Vang, Pending 2024 Review, Rebecca Seligman
Kho qhov link

NoticePrivacyPractice_2021_SP
Ka Vang, Pending 2024 Review, Rebecca Seligman
Kho qhov link

PCL_combined
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PCR_AUTH_REF
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PCS_NEMT_Form
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Phau Ntawv Qhia Txog Kws Kho Mob Ntawm Alliance Kev Saib Xyuas IHSS

PD_IHSS
Melissa Kelly-Ortega, Pending 2024 Review, Rachaelle Schultze
Kho qhov link

PD_MC_Merced
Melissa Kelly-Ortega, Pending 2024 Review, Rachaelle Schultze
Kho qhov link

PD_MC_SB
Melissa Kelly-Ortega, Pending 2024 Review, Rachaelle Schultze
Kho qhov link

CCAH Monterey and Santa Cruz County Provider Directory

PD_MC_SC_MTRY
Melissa Kelly-Ortega, Pending 2024 Review, Rachaelle Schultze
Kho qhov link

PDSA Guide
Naomi Kawabata, Pending 2024 Review
Kho qhov link

PDSA Project Tracker
Naomi Kawabata, Pending 2024 Review
Kho qhov link

Personal_Representative_Request_Form_EN
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link

PM-330_Eng-SP
Pending 2024 Review, Tammy Brass
Kho qhov link

POLST_2017_wCover
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Tus Muab Kev Pabcuam Portal Quick Reference

Portal_Quick_Reference_Linked_Members
Minerva Galvan, Pending 2024 Review
Kho qhov link

Prescription_Prior_Authorization_Request_Form
Navneet Sachdeva, Pending 2024 Review, Yasuno Sato
Kho qhov link

Printing to PDF
Pending 2024 Review, Sky Collins
Kho qhov link

Prior_Authorization_Criteria
Hayley Baudet, Pending 2024 Review
Kho qhov link

PROV_2021-website-launch_F_ENG
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PROV_ACE_Resource_Guide
Jessica Hampton, Pending 2024 Review
Kho qhov link

PROV_CBI_2022_Webinar_FAQ
Britta Vigurs, Kristen Rohlf, Pending 2024 Review
Kho qhov link

PROV_Change-in-Ownership_F_EN
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_CMS-Roll-Up-Billing
Pending 2024 Review, Sharlene Gianopoulos
Kho qhov link

PROV_DME-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_doula-credentialing-application_fillable_final
Crystral Kerr, Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_ECM-CS-Invoice-FAQ
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PROV_Invoice-Roll-Up-Billing
Pending 2024 Review, Sharlene Gianopoulos
Kho qhov link

PROV_Maximizing-Routine-IZ-during-COVID_ENG
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PROV_Member_Satisfaction_Toolkit_2021
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PROV_Non-Physician-Medical-Practitioner_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_Organizational-Provider-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_Outpatient-Laboratory-Provider-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_PassThrough-SupplementalPayments_FAQ_ENG
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

PROV_Pediatric-Screening-Tool-2023
Georgia Gordon, Pending 2024 Review
Kho qhov link

PROV_Pediatric-Vaccines-Tool-2023
Georgia Gordon, Pending 2024 Review
Kho qhov link

PROV_Physician-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

PROV_Transportation-Credentialing-Application_F_ENG
Jessie Dybdahl, Pending 2024 Review
Kho qhov link

Provider Portal Reports Webinar FAQ Guide
Minerva Galvan, Pending 2024 Review
Kho qhov link

Provider_FAQ_for_BHT_Services
Jennifer Mockus, Julie Norton, Pending 2024 Review
Kho qhov link

Provider_Inquiry_Form
Jeanette Alvarez, Pending 2024 Review
Kho qhov link

Tus kws kho mob_Manual
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Tus kws kho mob_Manual_072022
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Provider_Recruitment_Eligible_Expenses
Jessica Finney, Pending 2024 Review
Kho qhov link

Provider-incentive-flyer
Jim Lyons, Pending 2024 Review
Kho qhov link

PROVIDER-New-Doula-Provider-Training-ENG-Condensed
Melissa Kelly-Ortega, Pending 2024 Review
Kho qhov link

PROVIDER-New-ECM-Community-Supports-Provider-Training-ENG
Jennifer Mockus, Jessica Hampton, Pending 2024 Review
Kho qhov link

Tus neeg muab kev pabcuam Portal Tus Neeg Siv Qhia

Provider-Portal-User-Guide
Minerva Galvan, Pending 2024 Review
Kho qhov link

RA_Explanation_Code
Pending 2024 Review, Sharlene Gianopoulos
Kho qhov link

RA_Guide
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Request-to-Opt-in-Form
Jessie Dybdahl, Jim Lyons, Pending 2024 Review
Kho qhov link

Run Chart Guide
Naomi Kawabata, Pending 2024 Review
Kho qhov link

SH_OrderForm
Desirre Herrera, Pending 2024 Review
Kho qhov link

Spanish_POLST_2016
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Standing Order Doula
Melissa Kelly-Ortega, Pending 2024 Review
Kho qhov link

TeleMed2U_flyer_EN
Angelica Baltazar, Jim Lyons, Pending 2024 Review
Kho qhov link

Treatment_Authorization_Request
Pending 2024 Review, Tammy Brass
Kho qhov link

TSWVCUAB DAIM NTAWV TSO CAI SIV LOSSIS QHIA TAWM COV NTAUB NTAWV KUAJ MOB NKEEG TXWV TSIS PUB QHIA TAWM YOG TSIS TAU KEV TSO CAI
Megan Sims, Pending 2024 Review, Yomayra Gomez
Kho qhov link