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Pending 2022 Annual Review

2011 GNA Report (Merced County)

June 25, 2021
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2016 GNA Report (Merced County)

June 25, 2021
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2016 GNA Report (Santa Cruz and Monterey Counties)

June 25, 2021
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2020 PNA report (tri-county)

June 25, 2021
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Xyoo 2021 Txoj Kev Npaj Thiab Cov Hom Phiaj Los Pab Cov Tswvcuab (Bridge Plan)

March 5, 2021
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2021 PNA Report (Tri-county)

February 16, 2022
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90-Day Referral Completion – Exploratory Measure Tip Sheet

April 23, 2021
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A to Z Glossary of Spanish & Hmong Terms

May 4, 2021
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Hais Txog Alliance

January 22, 2021
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Hais Txog Koj Txoj Kev Npaj Kho Mob

February 4, 2021
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Nkag Mus Saib Tau Koj Cov Ntaub Ntawv Hais Txog Kev Noj Qab Haus Huv

June 10, 2021
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Adult Behavioral Health Screening Form

June 13, 2021
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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
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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
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Alliance Care IHSS Daim Ntawv Qhia Txog Cov Kev Kho Mob Uas Pab Them Rau

May 5, 2021
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Alliance Care IHSS Phau Ntawv Rau Tus Tswvcuab

May 5, 2021
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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
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Alliance Cov Kev Pab Saib Xyuas Mob Nkeej Rau Tom Tsev (IHSS)

January 19, 2021
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Alliance Holidays

May 7, 2021
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Alliance Cov Kev Pab Cuam Txhais Lus

February 5, 2021
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Allied Health Professional Credentialing Application

May 28, 2021
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Alternative Treatments Events

April 6, 2021
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Kuv Puas Tsim Nyog Tau Txais?

January 19, 2021
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Kuv Puas Tsim Nyog Tau Txais?

January 11, 2021
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Ambulatory Care Sensitive Admissions Tip Sheet

April 27, 2021
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Antidepressant Medication Management Tip Sheet

April 26, 2021
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Application of Fluoride Varnish Tip Sheet

April 26, 2021
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Kev Thov Rau Daim Ntawv Thov Nkag

May 10, 2021
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Cov Kev Pom Zoo rau Kev Kho Mob

February 3, 2021
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Asthma Education Benefit Description

June 14, 2021
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Asthma Education is Available for Your Alliance Patients

June 26, 2021
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Asthma Medication Ratio Tip Sheet

April 26, 2021
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Asthma Self-Management Education Checklist

May 29, 2021
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Authorization Status Request

May 28, 2021
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Beacon Care Management Referral Form

June 13, 2021
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Beacon Diagnostic Evaluation Form (Medi-Cal)

June 13, 2021
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Beacon Health Options Medi-Cal Provider FAQs

June 1, 2021
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Beacon Health Options Primary Care Provider (PCP) Referral Form

June 11, 2021
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Beacon Health Options Referral Card

June 2, 2021
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Beacon Health Options Screening Guidelines for Autism

June 1, 2021
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Beacon Primary Care Provider (PCP) Referral Form with Spanish

June 13, 2021
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Kev Pab Kho Cwj Pwm

May 10, 2021
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Kev Pab Kho Cwj Pwm

February 3, 2021
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Behavioral Health Measures

May 28, 2021
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Behavioral/Mental Health Events

February 19, 2021
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Cov Kev Pab Kho Mob Uas Txais Tau

January 19, 2021
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Cov Kev Pab Kho Mob Uas Txais Tau

January 19, 2021
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Best Practices for Reducing Patient No-Shows Tip Sheet

April 27, 2021
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Blood Lead Testing Flyer

April 30, 2021
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Breast Cancer Screening Tip Sheet

April 27, 2021
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Breastfeeding and Lactation Education Checklist

May 29, 2021
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Kev Pab Txhawb Me Nyuam Noj Mis thiab Cov Nyiaj Pab Taub Mis

June 1, 2021
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Breastfeeding Support and Breast Pump Benefit Clinical Health Education Benefit

May 31, 2021
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California Advance Health Care Directive Form

May 28, 2021
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California Kev Pab Kho Mob Rau Menyuam Yaus (California Children’s Services; CCS, raws li sau hauv lus Askiv)

May 7, 2021
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California Kev Pab Kho Mob Rau Menyuam Yaus (CCS) Qhov Kev Npaj Kho Mob Rau Cov Menyaum Yaus

February 5, 2021
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California Management Guidelines: Childhood Lead Poisoning

April 30, 2021
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California Participating Practitioner Application

May 28, 2021
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Capital Program

March 29, 2021
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Kev Pab Cuam Tswj Kev Tu Xyuas

May 11, 2021
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Care-Based Incentive

April 20, 2021
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Care-Based Incentive (CBI) Summary

April 20, 2021
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Care-Based Incentive Resources

April 20, 2021
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Cov Haujlwm Qhib

January 23, 2021
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Case Management Referral Form

May 28, 2021
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CBI Technical Specifications

April 23, 2021
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Central California Alliance for Health

July 21, 2020
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Certification Regarding Debarment Suspension, Ineligibility and Voluntary Exclusion

May 28, 2021
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Certification Regarding Lobbying – Exhibit D(F) Att 1 and 2

May 28, 2021
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Cervical Cancer Screening Tip Sheet

April 27, 2021
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Kev Hloov Tus Thawj Kws Kho Mob

March 12, 2021
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Hu, Thiab Teem Sijhawm Kuaj Mob.

May 16, 2021
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Child and Adolescent Health Measures

May 28, 2021
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Child and Adolescent Well-Care Visits Tip Sheet

April 27, 2021
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Child and Adolescents BMI Assessment Tip Sheet

April 27, 2021
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Child Behavioral Health Screening Form

June 13, 2021
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Chlamydia Screening in Women – Exploratory Measure Tip Sheet

April 27, 2021
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Chronic and Persistent Conditions Health Measures

May 28, 2021
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Cov Kev Thov

April 23, 2021
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Clinical Health Education Benefits Provider Application

May 31, 2021
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Cov Kev Pab Kho Mob

May 7, 2021
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Community Based Adult Services (CBAS) Inquiry Form

May 28, 2021
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Cov Nyiaj Pab Rau Zej Zog

March 25, 2021
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Zej Zog Cov Ntaub Ntawv Tshaj Tawm

February 24, 2022
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Cov Kev Pab Rau Neeg Zej Zog

April 13, 2021
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Community Support Services Member Referral Form

January 19, 2022
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Community Supports Provider Referral Form

January 4, 2022
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Cov Kev Pab Cuam Hauv Lub Zej Zog Rau Cov Neeg Laus (Community-Based Adult Services; CBAS, raws li sau hauv lus Askiv)

April 13, 2021
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Complex Case Management and Care Coordination

June 1, 2021
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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
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Consent for Sterilization or Hysterectomy Sample Form

May 28, 2021
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Hu Tuaj Rau Peb

January 23, 2021
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Controlling High Blood Pressure – Exploratory Measure Tip Sheet

April 27, 2021
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Corrected Claim Submission Form

May 28, 2021
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COVID-19 Cov Lus Qhia

May 28, 2021
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COVID-19 Vaccine Administration for Providers

May 12, 2021
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Lus Qhia Txog Koob Txhaj Tshuaj Tiv Thaiv Kab Mob COVID-19 rau Cov Tswvcuab Medi-Cal

May 4, 2021
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Lus Qhia Txog Koob Tshuaj Txhaj Tiv Thaiv Kab Mob Rau Medi-Cal Cov Tswvcuab Daim ntawv qhia

May 4, 2021
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COVID-19 Vaccine Information Videos

June 22, 2021
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COVID-19: Information for Providers

June 18, 2021
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CPT/Procedure Code Inquiry Form

May 28, 2021
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Credentialing Applications and Policies

May 10, 2021
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Credit Balance Report

May 28, 2021
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Cov Kev Pab Cuam Kab Lis Kev Cai thiab Txhais Lus

May 3, 2021
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Kev Kho Hniav thiab Kev Kho Qhov Muag

February 3, 2021
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Depression Tool Kit

April 29, 2021
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Developer Application

October 4, 2021
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Developer Questionnaire

November 17, 2021
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Developer Resources

June 16, 2021
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Developmental Screening in the First 3 Years Tip Sheet

April 27, 2021
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DHCS Facility Site Review (FSR) Checklist

May 14, 2021
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DHCS Medical Record Review (MRR) Checklist

May 14, 2021
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DHCS Vaccine Recommendations During COVID-19

May 13, 2021
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Diabetes Eye Exam Services Resource List – English

June 25, 2021
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Diabetes Eye Exam Services Resource List – Hmong

June 25, 2021
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Diabetes Eye Exam Services Resource List – Spanish

June 25, 2021
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Diabetes Prevention Program (DPP) Benefit Description

May 31, 2021
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Diabetes Self-Management Education Benefit Description

May 29, 2021
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Diabetic HbA1c Poor Control >9% Tip Sheet

April 27, 2021
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Disease Management Programs

May 29, 2021
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Domestic Violence Events

April 8, 2021
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Durable Medical Equipment Provider Application

May 28, 2021
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EDI Claims Enrollment Form

May 28, 2021
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EDI Claims Enrollment Form Instructions

May 28, 2021
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EDI Companion Guide – 270/271 Information

May 28, 2021
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EDI Companion Guide – 276/277 Information

May 28, 2021
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EDI Companion Guide – 837/835 Trading Partner Information

May 28, 2021
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EDI Companion Guide – Transaction Instruction

May 28, 2021
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Enhanced Care Management (ECM) and Community Supports

June 20, 2022
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Daim Ntawv Foos Xa Tswvcuab Mus Kho Mob

January 19, 2022
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Kev Txhim Khu Kev Pab Tswj Kev Tu Xyuas thiab Zej Zog Kev Pab Txhawb

November 16, 2021
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Enhanced Care Management Provider Referral Form

January 4, 2022
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Face-to-Face Interpreter Request Form

May 3, 2021
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Facility Site Review

May 11, 2021
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Daim Ntawv Qhia Txog Qhov Tsheeb

February 24, 2021
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Kev Npaj Kom Muaj Menyuam

February 3, 2021
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Ua ib Daim Ntawv Hais Kev Tsis Txaus Siab

February 5, 2021
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Nrhiav ib Tus Kws Kho Mob

February 4, 2021
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Rau Cov Zej Zog

March 25, 2021
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Rau Cov Tswvcuab

February 3, 2021
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Rau Cov Kws Pab Kho Mob

March 15, 2021
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Cov Lus Uas Nquag Nug

February 4, 2021
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FSR and MRR Update Attestation

April 14, 2022
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FSR Critical Elements: Interim Monitoring Form

May 14, 2021
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Funding Opportunities

March 26, 2021
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Kev Txais Kev Kho Mob

January 29, 2021
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Los Pib Tau

February 4, 2021
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Cov Ntsiab Lus Txhais

May 7, 2021
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Daim Ntawv Ua Hais Kev Tsis Txaus Siab

March 17, 2021
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Kev Nyob Noj Qab Haus Huv thiab Noj Qab Nyob Zoo

February 19, 2021
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Cov Nqi Zog Rau Kev Nyob Noj Qab Haus Huv thiab Noj Qab Nyob Zoo

April 8, 2021
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Daim Ntawv Qhia Txog Cov Nqi Zog Rau Kev Nyob Noj Qab Haus Huv thiab Noj Qab Nyob Zoo

May 13, 2021
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Health Assessments

May 11, 2021
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Kev Pab Qhia Txog Kev Noj Qab Haus Huv thiab Kev Pab Tswj Kab Mob

May 11, 2021
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Health Education Programs

May 29, 2021
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Qhov Kev Npaj Kho Mob

January 19, 2021
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Health Programs Referral Form

May 29, 2021
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Health Resources

June 1, 2021
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Healthy Breathing for Life Asthma Management Program

May 31, 2021
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Cov Kev Pab Kom Neeg Zej Zog Muaj Kev Noj Qab Haus Huv

April 13, 2021
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HEDIS

May 11, 2021
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HEDIS Code Set

May 28, 2021
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HEDIS FAQ Guide

May 28, 2021
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HEDIS Resources

May 21, 2021
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How to Apply

March 26, 2021
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Yuav Koom Nrog Li Cas

January 19, 2021
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Yuav Koom Nrog Li Cas

January 19, 2021
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Yuav Koom Nrog Li Cas

May 10, 2021
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Immunization Resources

May 11, 2021
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Immunizations: Adolescents Tip Sheet

April 22, 2021
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Immunizations: Adult – Exploratory Measure Tip Sheet

April 26, 2021
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Immunizations: Children (Combo 10) Tip Sheet

April 27, 2021
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Daim ntawv ceeb toom cuam tshuam

February 16, 2022
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Infection Control: Spore Testing Job Aid

May 14, 2021
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Kev Nthuav Tawm Ntaub Ntawv

February 16, 2021
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Initial Health Assessment

May 11, 2021
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Initial Health Assessment Billing Code List

May 12, 2021
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Initial Health Assessment Tip Sheet

April 27, 2021
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Cov lus qhia txog yuav ua li cas thiaj rub tawm tau ib daim ntawv foos 

March 4, 2022
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Lus Qhia Txog Kev Fajseeb Kho Mob

March 12, 2021
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International Board Certified Lactation Consultants and Breast Pump Vendor List

May 31, 2021
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Interpreter Services Provider Quick Reference Guide

May 3, 2021
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Interpreter Services Quality Assurance Form

May 3, 2021
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Cov Lus Qhia Txog Qhov Kev Pab Cuam Medi-Cal Rx

August 17, 2021
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job

February 2, 2021
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Koom Nrog Pab Neeg Tawm Tswv Yim

February 5, 2021
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Koom Nyob Hauv Peb Pab Pawg Koom Tes

May 7, 2021
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Language Assistance Label Template

May 3, 2021
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Lead Screening in Children – Exploratory Measure Tip Sheet

April 27, 2021
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Cov Thawj Coj

January 20, 2021
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Locum Tenens Notification Form

May 28, 2021
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Long Term Care Treatment Authorization Request

May 28, 2021
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Kev Pab Tswj Kho Mob

April 20, 2021
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Kev Tswj Tus Kab Mob

April 8, 2021
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Maternity Care: Postpartum Tip Sheet

April 27, 2021
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Maternity Care: Prenatal Tip Sheet

April 27, 2021
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Maximizing Routine Immunization During the COVID-19 Pandemic

June 4, 2021
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Maximizing Your Value-Based Payments using CPT Category II Coding Tip Sheet

June 1, 2021
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Medi-Cal

January 19, 2021
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Medi-Cal Capacity Grant Program

March 25, 2021
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Daim Qhia Txog Cov Kev Kho Mob Uas Pab Them Rau

April 28, 2021
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Phau Ntawv Rau Tus Tswvcuab

April 28, 2021
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Medi-Cal Provider-Preventable Conditions Reporting Portal

May 28, 2021
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Medi-Cal Rx

August 9, 2021
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Medical Clearance for General Anesthesia or IV Sedation for Dental Procedures

May 28, 2021
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Khoom Siv Kho Mob

February 3, 2021
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Medical Nutrition Therapy Benefit Quick Reference Guide

May 7, 2021
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Medical Record Review

May 11, 2021
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Medication Management Agreement (MMA)

May 28, 2021
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Member Appointment No-Show Notification

May 28, 2021
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Member Grievance Form – IHSS

February 3, 2022
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Member Grievance Form – Medi-Cal

February 3, 2022
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Tus Tswvcuab Daim Npav ID

February 4, 2021
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Cov Kev Txhawb Zog Rau Tus Tswvcuab

May 11, 2021
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Cov Xov Xwm Qhia Rau Tswvcuab

February 5, 2021
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Member Notice Letters

May 28, 2021
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Cov Tswv Cuab lub online account

December 29, 2021
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Daim Ntawv Foos Thov Them Nyiaj Rov Qab Rau Tus Tswvcuab

February 11, 2021
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Cov Kev Pab Cuam Tswvcuab

February 5, 2021
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Pab Neeg Tawm Tswvyim Los Pab Tswvcuab (Member Services Advisory Group; MSAG)

March 31, 2021
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Daim Ntawv Thov Pab Pawg Pab Tswv Yim Rau Cov Kev Pab Cuam Tswv Cuab

April 30, 2021
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Lub Zeem Muag, Lub Luag Haujlwm thiab Cov Kev Tseem Ceeb

December 14, 2020
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New Non-PCP Training

June 3, 2021
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New PCP Training

June 3, 2021
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New Provider Attestation Form

July 6, 2021
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New Provider ECM/Community Supports Training Sign Off Form

December 14, 2021
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Txoj Kev Muab Kev Kawm Qhia Rau Cov Kws Pab Kho Mob Tshiab

May 10, 2021
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Cov Xov Xwm

May 14, 2021
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Non-Physician Medical Practitioner Application

May 28, 2021
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Txoj Cai Rau Kev Tsis Cais Kev Npaj Kho Mob

March 18, 2021
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Daim Ntawv Ceeb Toom Txog Kev Txwv Tsis Pub Lwm Tus Paub Txog

July 28, 2021
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Tus Xov Tooj Nug Kev Pab Los Ntawm Ib Tus Kws Tu Neeg Mob

February 3, 2021
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Tus Xov Tooj Nug Kev Pab Los Ntawm Ib Tus Kws Tu Neeg Mob

May 7, 2021
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Nutrition and Fitness Events

April 6, 2021
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Online Provider Directory Tutorial

June 18, 2021
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Kev Pab Cuam Saum Oos Lais (Online)

February 5, 2021
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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
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Organizational Provider Application

May 28, 2021
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Other Health Coverage (OHC) Referral Form

May 28, 2021
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Lwm Cov Kev Pab Cuam

February 23, 2021
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Cov Kev Pab Cuam Uas Tsis Nyob Hauv Thaj Tsam

February 3, 2021
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Outpatient Clinical Laboratory Provider Application

May 28, 2021
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Over-the-phone Interpreting Language List

May 3, 2021
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Pain Management and Substance Use Resources

June 1, 2021
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Pain Management Events

April 6, 2021
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Partners for Healthy Food Access Program

March 29, 2021
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Pass Through/Supplemental Payments FAQ

May 28, 2021
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Patient Access

June 10, 2022
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Patient Complaint/Grievance Tracking Log

May 28, 2021
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PCP Blood Lead Testing Flyer

May 12, 2021
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PCP Decision Support Services

June 11, 2021
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PCP MAT in the Provider Portal

June 15, 2021
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Pharmacy Directory

May 6, 2021
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Pharmacy Forms

June 16, 2021
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Pharmacy Formulary

May 6, 2021
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Pharmacy Services

May 6, 2021
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Physical Accessibility Review

May 11, 2021
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Physician Certification Statement of Medical Necessity for NEMT

May 28, 2021
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Physician Orders for Life-Sustaining Treatment (POLST)

May 28, 2021
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Plan All-Cause Readmissions Tip Sheet

April 27, 2021
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Cov Nqi Uas Yuav Tau Them

January 19, 2021
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Prescription Drug Prior Authorization or Step Therapy Exception Request Form

May 6, 2021
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Cov Tshuaj Raws Daim Ntawv Xaj Yuav Tshuaj thiab Cov Kev Txais Tau Tshuaj

February 3, 2021
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Preventable Emergency Care Visit Diagnosis Tip Sheet

April 29, 2021
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Preventable Emergency Visits Tip Sheet

April 27, 2021
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Prevention and Self-Management Programs

June 26, 2021
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Thawj Qhov Kev Kho Mob

February 3, 2021
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Prior Authorization Criteria

May 6, 2021
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Prior Authorization Information Request for Injectable Drugs

May 6, 2021
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Txoj Cai Txwv Tsis Pub Lwm Tus Paub

May 11, 2021
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Cov Lus Thov Txwv Tsis Pub Lwm Tus Paub

February 17, 2021
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Procedure Code Lookup Tool

October 5, 2021
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Procedure Reimbursement Rate Request

May 26, 2021
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Programmatic Measure Benchmarks & Performance Improvement

April 26, 2021
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Promoting Cultural and Linguistic Competency

May 4, 2021
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Provider Approval Checklist Diabetes Prevention & Self Management Education

June 29, 2021
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Provider Change Request (PCR)

May 28, 2021
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Provider Compliance Concern Report

March 29, 2022
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Phau Ntawv Teev Npe Cov Kws Kho Mob

June 17, 2021
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Phau Ntawv Teev Npe Cov Kws Kho Mob

April 22, 2021
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Provider Event Submission

May 4, 2022
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Provider Events Calendar

April 6, 2022
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Provider Identified Overpayment Form

May 28, 2021
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Provider Information Change Form

May 10, 2021
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Provider Inquiry Form

May 28, 2021
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Phau Ntawv Rau Tus Kws Kho Mob

April 22, 2021
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Cov Xov Xwm Qhia Rau Kws Kho Mob

April 23, 2021
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Provider News Archives

March 29, 2022
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Kws Kho Mob Lub Chaw Tswj Xyuas Tswvcuab Cov Ntaub Ntawv

March 15, 2021
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Provider Portal Account Request Form

May 6, 2021
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Provider Portal Frequently Asked Questions

April 26, 2021
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Provider Portal Quick Reference

April 26, 2021
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Provider Portal User Guide

April 26, 2021
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Provider Recruitment Program

March 29, 2021
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Cov Rooj Sib Tham Qhib Rau Pej Xeem

January 22, 2021
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Kev Pab Saib Xyuas Kho Mob Kom Zoo

April 20, 2021
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Kev Xa Mus thiab Kev Tso Cai

May 11, 2021
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Remittance Advice Explain Codes

May 28, 2021
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Remittance Advice Guide

May 28, 2021
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Request for Member Reassignment Form

May 28, 2021
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Hu Tuaj Rau Peb | Hu Dawb: 800-700-3874

Kev Mus Nrhiav Kev Pab

Tus Xov Tooj Nug Kev Pab Los Ntawm Ib Tus Kws Tu Neeg Mob
Kev Pab Cuam Txhais Lus
Cov Lus Uas Nquag Nug

Kev Pab Rau Cov Tswvcuab

DAIM NTAWV FOOS THOV HAIS KEV TSIS TXAUS SIAB
Phau Ntawv Rau Tus Tswvcuab
Cov Nqi Zog Rau Kev Nyob Noj Qab Haus Huv thiab Noj Qab Nyob Zoo
Txoj Cai Rau Kev Saib Xyuas Kho Mob Txuas Ntxiv

Lub Alliance

Cov Haujlwm Qhib
Hu Tuaj Rau Peb

Kev Mus Cuag lossis Saib Xyuas Tau

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