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Pending 2022 Annual Review

2011 GNA Report (Merced County)

June 25, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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2016 GNA Report (Merced County)

June 25, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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2016 GNA Report (Santa Cruz and Monterey Counties)

June 25, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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2020 PNA report (tri-county)

June 25, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Xyoo 2021 Txoj Kev Npaj Thiab Cov Hom Phiaj Los Pab Cov Tswvcuab (Bridge Plan)

March 5, 2021
Pending 2022 Annual Review, Pending Comms Review
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2021 PNA Report (Tri-county)

February 16, 2022
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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2022 PNA Report (Tri-county)

July 11, 2022
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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90-Day Referral Completion – Exploratory Measure Tip Sheet

April 23, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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A to Z Glossary of Spanish & Hmong Terms

May 4, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Hais Txog Alliance

January 22, 2021
Pending 2022 Annual Review, Pending Comms Review
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Adult Behavioral Health Screening Form

June 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Adverse Childhood Experiences (ACEs) Screening in Children and Adolescents – Exploratory Measure Tip Sheet

Lub Ib Hli Ntuj Hnub Tim 1, 2022
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Cov Cai Rau Lwm Txoj Hauv Kev Mus Txais Tau Kev Pab Kho Mob (Alliance Alternative Access Standards)

April 28, 2021
Alternative Access, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Care IHSS Daim Ntawv Qhia Txog Cov Kev Kho Mob Uas Pab Them Rau

May 5, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Care IHSS Phau Ntawv Rau Tus Tswvcuab

May 5, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Care IHSS Price Transparency Tool

December 5, 2022
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Care IHSS Daim Ntawv Qhia Txog Cov Kev Pab Kho Mob Uas Txais Tau thiab Cov Kev Fajseeb Kho Mob

May 5, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Cov Kev Pab Saib Xyuas Mob Nkeej Rau Tom Tsev (IHSS)

January 19, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Alliance Holidays

May 7, 2021
Pending 2022 Annual Review, Pending Comms Review
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Alliance Cov Kev Pab Cuam Txhais Lus

February 5, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Allied Health Professional Credentialing Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Kuv Puas Tsim Nyog Tau Txais?

January 19, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kuv Puas Tsim Nyog Tau Txais?

January 11, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Ambulatory Care Sensitive Admissions Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Antidepressant Medication Management Tip Sheet

April 26, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Application of Fluoride Varnish Tip Sheet

April 26, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kev Thov Rau Daim Ntawv Thov Nkag

May 10, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Kev Pom Zoo rau Kev Kho Mob

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kev Mob Hawb Pob

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Asthma Education Benefit Description

June 14, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Asthma Education is Available for Your Alliance Patients

June 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Asthma Medication Ratio Tip Sheet

April 26, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Asthma Self-Management Education Checklist

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Authorization Status Request

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Beacon Care Management Referral Form

June 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Beacon Diagnostic Evaluation Form (Medi-Cal)

June 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Beacon Health Options Medi-Cal Provider FAQs

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Beacon Health Options Primary Care Provider (PCP) Referral Form

June 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Beacon Health Options Referral Card

June 2, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Beacon Health Options Screening Guidelines for Autism

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Beacon Primary Care Provider (PCP) Referral Form with Spanish

June 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Behavioral Health Measures

May 28, 2021
HEDIS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Pab Kho Mob Uas Txais Tau

January 19, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Pab Kho Mob Uas Txais Tau

January 19, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Best Practices for Reducing Patient No-Shows Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Blood Lead Testing Flyer

April 30, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Breast Cancer Screening Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Pub Niam Mis

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Breastfeeding and Lactation Education Checklist

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Pab Txhawb Me Nyuam Noj Mis thiab Cov Nyiaj Pab Taub Mis

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Breastfeeding Support and Breast Pump Benefit Clinical Health Education Benefit

May 31, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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California Advance Health Care Directive Form

May 28, 2021
Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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California Management Guidelines: Childhood Lead Poisoning

April 30, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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California Participating Practitioner Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Capital Program

March 29, 2021
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kev Pab Cuam Tswj Kev Tu Xyuas

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Care-Based Incentive

April 20, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Care-Based Incentive (CBI) Summary

April 20, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Care-Based Incentive Resources

April 20, 2021
CBI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Haujlwm Qhib

January 23, 2021
Pending 2022 Annual Review, Pending Comms Review
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Case Management Referral Form

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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CBI Technical Specifications

April 23, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Central California Alliance for Health

July 21, 2020
Pending 2022 Annual Review, Pending Comms Review
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Certification Regarding Debarment Suspension, Ineligibility and Voluntary Exclusion

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
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Certification Regarding Lobbying – Exhibit D(F) Att 1 and 2

May 28, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
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Cervical Cancer Screening Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Changes to Public Charge

November 22, 2022
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Hu, Thiab Teem Sijhawm Kuaj Mob.

May 16, 2021
Pending 2022 Annual Review, Pending Comms Review
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Child and Adolescent Health Measures

May 28, 2021
HEDIS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Child and Adolescent Well-Care Visits Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Child and Adolescents BMI Assessment Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Child Behavioral Health Screening Form

June 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Chlamydia Screening in Women – Exploratory Measure Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Xaiv Koj Tus Kws Kho mob

March 12, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Chronic and Persistent Conditions Health Measures

May 28, 2021
HEDIS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Mob Mus Ntev

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Clinical Health Education Benefits Provider Application

May 31, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Cov Kev Pab Kho Mob

May 7, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Community Based Adult Services (CBAS) Inquiry Form

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Cov Koom Txoos Hauv Zej Zog

September 28, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Nyiaj Pab Rau Zej Zog

March 25, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Ntaub Ntawv Qhia Tias Tau Pab Zej Zog Npaum Li Cas (Community Impact Reports)

February 16, 2022
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Zej Zog Cov Ntaub Ntawv Tshaj Tawm

February 24, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Kev Pab Rau Neeg Zej Zog

April 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Community Support Services Member Referral Form

January 19, 2022
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Community Supports Provider Referral Form

January 4, 2022
Cov Zej Zog Kev Pab Txhawb, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Complex Case Management and Care Coordination

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Daim Foos Thov Kom Xa Cov Ntawv Txwv Tsis Pub Lwm Tus Paub Rau Lwm Txoj Kev Sib Txuas Lus

June 22, 2022
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Consent for Sterilization or Hysterectomy Sample Form

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Hu Tuaj Rau Peb

January 23, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Controlling High Blood Pressure – Exploratory Measure Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Corrected Claim Submission Form

May 28, 2021
Cov Kev Thov, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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COVID-19 Cov Lus Qhia

May 28, 2021
COVID-19, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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COVID-19 Vaccine Administration for Providers

May 12, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Lus Qhia Txog Koob Txhaj Tshuaj Tiv Thaiv Kab Mob COVID-19 rau Cov Tswvcuab Medi-Cal

May 4, 2021
Flu Season 2021, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Lus Qhia Txog Koob Tshuaj Txhaj Tiv Thaiv Kab Mob Rau Medi-Cal Cov Tswvcuab Daim ntawv qhia

May 4, 2021
COVID-19 Vaccine, Pending 2022 Annual Review, Pending Comms Review
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COVID-19 Vaccine Information Videos

June 22, 2021
COVID-19, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

COVID-19: Information for Providers

June 18, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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CPT/Procedure Code Inquiry Form

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Credentialing Applications and Policies

May 10, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Credit Balance Report

May 28, 2021
Branding Update Needed, Finance, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Xaus nrog COVID!

October 7, 2021
Flu Season 2021, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Pab Cuam Kab Lis Kev Cai thiab Txhais Lus

May 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Kho Hniav thiab Kuaj Qhov Muag

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Depression Tool Kit

April 29, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Developer Application

October 4, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Developer Questionnaire

November 17, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Developer Resources

June 16, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Developmental Screening in the First 3 Years Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

DHCS Facility Site Review (FSR) Checklist

May 14, 2021
FSR, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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DHCS Medical Record Review (MRR) Checklist

May 14, 2021
MRR, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

DHCS Vaccine Recommendations During COVID-19

May 13, 2021
COVID-19, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Diabetes Eye Exam Services Resource List – English

June 25, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Diabetes Eye Exam Services Resource List – Hmong

June 25, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Diabetes Eye Exam Services Resource List – Spanish

June 25, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Diabetes Prevention Program (DPP) Benefit Description

May 31, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Diabetes Self-Management Education Benefit Description

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Mob Ntshav Qab Zib/Kev Pib Mob Ntshav Qab Zib

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Diabetic HbA1c Poor Control >9% Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Disease Management Programs

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Durable Medical Equipment Provider Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

EDI Claims Enrollment Form

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

EDI Claims Enrollment Form Instructions

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

EDI Claims Enrollment Form Online

December 8, 2022
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

EDI Companion Guide – 270/271 Information

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

EDI Companion Guide – 276/277 Information

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

EDI Companion Guide – 837/835 Trading Partner Information

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

EDI Companion Guide – Transaction Instruction

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Enhanced Care Management (ECM) and Community Supports

June 20, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Txhim Kho Kev Pab Tswj Kev Tu Xyuas (Enhanced Care Managment; ECM, raws li sau hauv lus Askiv) Daim Ntawv Foos Xa Tswvcuab Mus Kho Mob

January 19, 2022
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Txhim Kho Kev Pab Tswj Kev Tu Xyuas thiab Zej Zog Kev Pab Txhawb

November 16, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Enhanced Care Management Provider Referral Form

January 4, 2022
ECM, Enhanced Care Management, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Face-to-Face Interpreter Request Form

May 3, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Facility Site Review

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Ntawv Qhia Txog Qhov Tsheeb

February 24, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Kev Npaj Rau Tsev Neeg

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Rau Cov Zej Zog

March 25, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Rau Cov Tswvcuab

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Rau Cov Kws Pab Kho Mob

March 15, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

FSR and MRR Update Attestation

April 14, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

FSR Critical Elements: Interim Monitoring Form

May 14, 2021
FSR, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Funding Opportunities

March 26, 2021
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Txais Kev Kho Mob

January 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Ntsiab Lus Txhais

May 7, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Ntawv Ua Hais Kev Tsis Txaus Siab

March 17, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Grievance Form In-Home Supportive Services (IHSS)

November 16, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Ntawv Ua Hais Kev Tsis Txaus Siab Rau Medi-Cal

November 16, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Nyob Noj Qab Haus Huv thiab Noj Qab Nyob Zoo

August 8, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Nqi Zog Rau Kev

April 8, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Pab Qhia Txog Kev Noj Qab Haus Huv thiab Kev Pab Tswj Kab Mob

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Health Education Programs

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Qhov Kev Npaj Kho Mob

January 19, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Health Programs Referral Form

May 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Health Resources

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Healthy Breathing for Life Asthma Management Program

May 31, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Neeg zej zog muaj kev noj qab haus huv

April 13, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Leej Niam, Cov Menyuam Mosliab Muaj Kev Noj Qab Haus Huv

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Txoj Kev Pab Cuam Cia Lub Cev Hnyav Kom Haum Yuav Pab Tau Muaj Kev Noj Qab Haus Huv Mus Tag Tiam (Healthy Weight for Life Program)

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

HEDIS

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

HEDIS Code Set

May 28, 2021
HEDIS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

HEDIS FAQ Guide

May 28, 2021
HEDIS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

HEDIS Resources

May 21, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

How to Apply

March 26, 2021
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Yuav Koom Nrog Li Cas

January 19, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Yuav Koom Nrog Li Cas

January 19, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Yuav Koom Nrog Li Cas

May 10, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Immunization Resources

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Sijhawm Mus Txhaj Tiv Thaiv Kab Mob thiab Cov Koob Txhaj Tshuaj Tiv Thaiv Kab Mob

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Immunizations: Adolescents Tip Sheet

April 22, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Immunizations: Adult – Exploratory Measure Tip Sheet

April 26, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Immunizations: Children (Combo 10) Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Infection Control: Spore Testing Job Aid

May 14, 2021
Branding Update Needed, FSR, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Nthuav Tawm Ntaub Ntawv

February 16, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Initial Health Assessment

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Initial Health Assessment Billing Code List

May 12, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Initial Health Assessment Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov lus qhia txog yuav ua li cas thiaj rub tawm tau ib daim ntawv foos 

March 4, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Lus Qhia Txog Kev Fajseeb Kho Mob

March 12, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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International Board Certified Lactation Consultants and Breast Pump Vendor List

May 31, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Interpreter Services Provider Quick Reference Guide

May 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Interpreter Services Quality Assurance Form

May 3, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Cov Lus Qhia Txog Qhov Kev Pab Cuam Medi-Cal Rx

August 17, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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job

February 2, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Koom Nyob Hauv Peb Pab Pawg Koom Tes

May 7, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Language Assistance Label Template

May 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Lead Screening in Children – Exploratory Measure Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Thawj Coj

January 20, 2021
Pending 2022 Annual Review, Pending Comms Review
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Locum Tenens Notification Form

August 18, 2022
Health Services, Pending 2022 Annual Review, Pending Department Review, Provider Forms
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Long Term Care Treatment Authorization Request

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Kev Pab Tswj Kho Mob

April 20, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kev Tswj Tus Kab Mob

April 8, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Maternity Care: Postpartum Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Maternity Care: Prenatal Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Maximizing Routine Immunization During the COVID-19 Pandemic

June 4, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet

June 1, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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MCGP Publications

December 7, 2022
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Medi-Cal

January 19, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Qhia Txog Cov Kev Kho Mob Uas Pab Them Rau

April 28, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Phau Ntawv Rau Tus Tswvcuab

April 28, 2021
Medi-Cal, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Medi-Cal Provider-Preventable Conditions Reporting Portal

May 28, 2021
Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Medi-Cal Rx

August 9, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Medical Clearance for General Anesthesia or IV Sedation for Dental Procedures

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Khoom Siv Kho Mob

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Medical Nutrition Therapy Benefit Quick Reference Guide

May 7, 2021
Branding Update Needed, Checklist, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Lub Tsev Muag Tshuaj, Quick Reference Guide
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Medical Record Review

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Medication Management Agreement (MMA)

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Member Appointment No-Show Notification

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
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Member Grievance Form – IHSS

February 3, 2022
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Member Grievance Form – Medi-Cal

February 3, 2022
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Tus Tswvcuab Daim Npav ID

February 4, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Txhawb Zog Rau Tus Tswvcuab

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Ntawv Xov Xwm Qhia Rau Tswvcuab

February 5, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Member Notice Letters

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
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Cov Tswv Cuab lub online account

December 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Ntawv Foos Thov Them Nyiaj Rov Qab Rau Tus Tswvcuab

February 11, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Cov Kev Pab Cuam Tswvcuab

February 5, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

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

April 30, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Lub Zeem Muag, Lub Luag Haujlwm thiab Cov Kev Tseem Ceeb

December 14, 2020
Pending 2022 Annual Review, Pending Comms Review
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New Non-PCP Training

June 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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New PCP Training

June 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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New Provider Attestation Form

July 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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New Provider ECM/Community Supports Training Sign Off Form

December 14, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Txoj Kev Muab Kev Kawm Qhia Rau Cov Kws Pab Kho Mob Tshiab

May 10, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Xov Xwm

May 14, 2021
Pending 2022 Annual Review, Pending Comms Review
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Non-Physician Medical Practitioner Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Txoj Cai Rau Kev Tsis Cais Kev Npaj Kho Mob

March 18, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Daim Ntawv Ceeb Toom Txog Kev Txwv Tsis Pub Lwm Tus Paub Txog

July 28, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Tus Xov Tooj Nug Kev Pab Los Ntawm Tus Kws Tu Neeg Mob

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Online Provider Directory Tutorial

June 18, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Kev Pab Cuam Saum Oos Lais (Online)

February 5, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Thov Rau Ib Daim Npav ID, Ib Phau Ntawv Rau Tus Tswvcuab thiab Ib Phau Ntawv Teev Npe Cov Kws Kho Mob

February 10, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Organizational Provider Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Other Health Coverage (OHC) Referral Form

May 28, 2021
Finance, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Lwm Cov Kev Pab Cuam

February 23, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Our Test Page

July 12, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Outpatient Clinical Laboratory Provider Application

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
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Pain Management and Substance Use Resources

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Partners for Healthy Food Access Program

March 29, 2021
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Pass Through/Supplemental Payments FAQ

May 28, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Patient Access

June 10, 2022
Pending 2022 Annual Review, Pending Comms Review
Tags:

Patient Complaint/Grievance Tracking Log

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
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PCP Blood Lead Testing Flyer

May 12, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

PCP Decision Support Services

June 11, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

PCP MAT in the Provider Portal

June 15, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Pharmacy Forms

September 6, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Pharmacy Formulary

May 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Pharmacy Formulary
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Pharmacy Services

May 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Physical Accessibility Review Survey

May 11, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Physician Certification Statement of Medical Necessity for NEMT

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Physician Orders for Life-Sustaining Treatment (POLST)

May 28, 2021
Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Plan All-Cause Readmissions Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Nqi Uas Yuav Tau Them

January 19, 2021
IHSS, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Prescription Drug Prior Authorization or Step Therapy Exception Request Form

May 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Lub Tsev Muag Tshuaj, Provider Forms
Tags:

Cov Tshuaj Raws Daim Ntawv Xaj Yuav Tshuaj thiab Cov Kev Txais Tau Tshuaj

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Preventable Emergency Care Visit Diagnosis Tip Sheet

April 29, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Preventable Emergency Visits Tip Sheet

April 27, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
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Prevention and Self-Management Programs

June 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Thawj Qhov Kev Kho Mob

February 3, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Prior Authorization Criteria

May 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Prior Authorization Information Request for Injectable Drugs

May 6, 2021
Branding Update Needed, Checklist, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Lub Tsev Muag Tshuaj, Provider Forms
Tags:

Cov Lus Thov Txwv Tsis Pub Lwm Tus Paub

February 17, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Procedure Code Lookup Tool

October 5, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Procedure Reimbursement Rate Request

May 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Programmatic Measure Benchmarks & Performance Improvement

April 26, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Promoting Cultural and Linguistic Competency

May 4, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Approval Checklist Diabetes Prevention & Self Management Education

June 29, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Provider Change Request (PCR)

May 28, 2021
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Provider Compliance Concern Report

March 29, 2022
Branding Update Needed, Health Services, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Phau Ntawv Teev Npe Cov Kws Kho Mob

June 17, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Phau Ntawv Teev Npe Cov Kws Kho Mob

April 22, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Event Submission

May 4, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Events Calendar

April 6, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Identified Overpayment Form

May 28, 2021
Branding Update Needed, Finance, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Provider Information Change Form

May 10, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Provider Inquiry Form

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
Tags:

Phau Ntawv Rau Tus Kws Kho Mob

April 22, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Xov Xwm Qhia Rau Kws Kho Mob

April 23, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider News Archives

March 29, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider News Posts

July 19, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kws Kho Mob Lub Chaw Tswj Xyuas Tswvcuab Cov Ntaub Ntawv

March 15, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Portal Account Request Form

May 6, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms
Tags:

Provider Portal Account Request Form – Step 2

November 3, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Portal Frequently Asked Questions

April 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Portal Quick Reference

April 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Portal User Guide

April 26, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Provider Recruitment Program

March 29, 2021
MCGP, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Rooj Sib Tham Qhib Rau Pej Xeem

January 22, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Kev Pab Saib Xyuas Kho Mob Kom Zoo

April 20, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Kev Mus Ntsib tus Kws Kho Mob

August 9, 2022
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Remittance Advice Explain Codes

May 28, 2021
EDI, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Remittance Advice Guide

May 28, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Remittance Advice
Tags:

Request for Member Reassignment Form

May 28, 2021
Branding Update Needed, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review, Provider Forms, Provider Services
Tags:

Request for Provider Information

November 21, 2022
Health Services, Pending 2022 Annual Review, Pending Department Review, Provider Forms
Tags:

Kev Thov Rau Tus Neeg Sawv Cev Rau Koj

February 12, 2021
Member Forms - Find a Form, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Cov Kev Pab

March 30, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Screening for Depression and Follow-Up Plan Tip Sheet

Lub Ib Hli Ntuj Hnub Tim 1, 2022
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Seniors and Disabilities

June 1, 2021
Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags:

Social Media Code of Conduct

May 14, 2021
Pending 2022 Annual Review, Pending Comms Review
Tags:

Lub Khws muag tshuaj SortPak

May 28, 2021
COVID-19 Vaccine, Pending 2022 Annual Review, Pending Comms Review
Tags:

Standard of Care Guidelines: Childhood Lead Poisoning

April 30, 2021
CBI, CBI Resources, Pending 2022 Annual Review, Pending Comms Review, Pending Department Review
Tags: