Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Cov kws kho mob tuaj yeem siv daim foos no los kuaj xyuas qhov xwm txheej ntawm kev thov kev tso cai.
Providers should use this Autism Evaluation form to refer Alliance members under the age of 21 who may benefit from an autism evaluation and/or behavioral health treatment (BHT), including Applied Behavior Analysis (ABA).
Cov kws kho mob tuaj yeem ua tiav daim foos no kom xa ib tus tswvcuab mus rau cov kev pabcuam saib xyuas kev noj qab haus huv hauv zej zog.
Cov ntawv qhia ua ntej no yooj yim rau cov neeg mob nyeem thiab nkag siab.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Cov kws kho mob tuaj yeem siv daim foos no rau kev xa mus rau Kev Tswj Xyuas Kev Kho Mob (CM), suav nrog Kev Tswj Xyuas Cov Ntaub Ntawv thiab Kev Sib Koom Tes.
Cov kws kho mob tuaj yeem xa daim foos no mus rau Alliance nrog lawv daim ntawv cog lus Kev Pabcuam kos npe.
Cov neeg muab kev pabcuam tau txais kev them nyiaj raws li Daim Ntawv Pom Zoo Kev Pabcuam ntawm $100,000 lossis ntau dua yuav tsum xa daim ntawv pov thawj hais txog Lobbying daim ntawv mus rau Alliance.
This form is to be used when submitting documentation associated with claims already submitted.
Cov kws kho mob tuaj yeem siv daim foos no los nug txog CBAS cov kev pabcuam rau cov tswvcuab Alliance.
Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.
Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.
Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.
Rau kev xa mus rau Community Supports Services (CS), cov kws kho mob yuav tsum ua kom tiav daim ntawv xa mus no.
Cov kws kho mob tuaj yeem siv daim ntawv qauv no kom tau txais kev tso cai ua kom tsis muaj menyuam lossis hysterectomy. Cov kws kho mob pub dawb rau luam daim foos no thiab ntxiv lawv cov ntawv sau.
Cov kws kho mob tuaj yeem siv daim foos no los xa cov ntaub ntawv kho kom raug. Daim foos yuav tsum ua kom tiav tag nrho thiab daim ntawv thov yuav tsum tau txuas nrog. Txhawm rau tiv thaiv kev ua haujlwm qeeb, thov tsis txhob staple daim ntawv thov rau daim ntawv.
Cov kws kho mob koom nrog yuav tsum ua kom tiav thiab xa daim ntawv no mus rau Alliance raws li peb lub hlis twg.
Txhua tus neeg muab kev pab cuam hauv Managed Care Plan (MCP) yuav tsum ua kom tiav qhov kev cob qhia txog kev sib txawv, kev sib luag, thiab kev koom ua ke (DEI).
Xa mus rau DHCS Facility Site Review (FSR) Checklist los pab npaj rau kev tshuaj xyuas qhov chaw.
Xa mus rau DHCS Medical Record Review (MRR) Checklist los pab npaj rau kev tshuaj xyuas cov ntaub ntawv kho mob.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Daim ntawv thov no yog siv los tso npe rau cov chaw muab kev pabcuam ua lag luam rau ntau yam kev lag luam EDI, xws li 837 Electronic Claims Submission, 835 Electronic Remittance Advice thiab lwm yam.
To disenroll your member from Enhanced Care Management or Community Supports, providers should complete this form.
For referrals to Enhanced Care Management (ECM) Services, providers should complete this referral form.
Thov ua kom tiav qhov kev ntsuas tus kheej ntawm koj lub chaw ua raws li DHCS Cov Txheej Txheem Tseem Ceeb.
Thov siv daim foos no los xyuas kom meej tias koj puas muab Cov Kev Pabcuam Pom Zoo Txog Kev Sib Deev (tab sis tsis txwv rau cov kev pabcuam teev nyob rau hauv Tshooj 1367.28.) rau cov tswv cuab ntawm Alliance.
Txhawm rau xa ib tus tswv cuab Alliance mus rau ib qho ntawm peb cov kev pabcuam, thov ua kom tiav Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab xa fax mus rau Alliance Health Programs.
Thov fax daim ntawv no ua tiav, nrog rau Daim Ntawv Tso Cai Ua Ntej/TAR, mus rau Alliance Pharmacy Department ntawm (831) 430-5851.
Cov Kws Pab Kho Mob thiab Cov Koom Haum Uas Koom Tes Hauv Zej Zog tuaj yeem siv tau daim foos no los thov kom lub Alliance qhia tawm cov ntaub ntawv uas qhia txog ib tus Alliance tswvcuab uas raug pom tias ntaub ntawv kuaj mob nkeeg txwv tsis pub qhia tawm yog tsis tau kev tso cai (protected health information; PHI, raws li sau hauv lus Askiv).
Yuav tsum tau kev pom zoo ua ntej thiaj li siv tau txhua yam kev pab txhais lus.
Txhawm rau tshaj tawm cov kev txhawj xeeb lossis teeb meem nrog peb cov kev pabcuam hais lus, thov ua kom tiav peb Daim Ntawv Pov Thawj Kev Pabcuam Zoo.
Cov kws kho mob tuaj yeem siv daim foos no los ceeb toom rau Alliance ntawm txhua qhov chaw nyob ua ntej lawv muab kev pabcuam rau cov tswvcuab Alliance. Locum tenens yog cov chaw muab kev pabcuam uas muab qhov chaw ib ntus, lossis npog, rau lwm tus neeg muab kev pabcuam.
Cov kws kho mob tuaj yeem siv daim ntawv no los thov kev tso cai rau kev saib xyuas mus sij hawm ntev.
Cov kws kho mob yuav tsum tau tshaj tawm cov xwm txheej tiv thaiv tus kws kho mob rau DHCS hauv tsib hnub ua haujlwm ntawm kev tshawb pom los ntawm lawv qhov kev nyab xeeb online tshaj tawm portal.
Cov kws kho hniav tuaj yeem siv daim foos no kom tau txais kev tawm tswv yim los ntawm Alliance tus tswvcuab tus kws kho mob thawj zaug (PCP) txog kev siv tshuaj loog lossis IV sedation rau cov txheej txheem kho hniav.
Cov neeg muab kev pabcuam tuaj yeem rub tawm thiab luam tawm Daim Ntawv Tsis Txaus Siab rau Cov tswvcuab xa daim ntawv tsis txaus siab
Cov neeg muab kev pabcuam tuaj yeem rub tawm thiab luam tawm Daim Ntawv Tsis Txaus Siab rau Cov tswvcuab xa daim ntawv tsis txaus siab
Tom qab tshuaj xyuas cov ntaub ntawv lees paub tias koj tau ua tiav qhov kev cob qhia. Thov nco ntsoov tias qhov kev tshuaj xyuas yuav tsum ua kom tiav ua ntej 10 hnub ua haujlwm ntawm lub hli.
Tom qab tshuaj xyuas cov ntaub ntawv lees paub tias koj tau ua tiav qhov kev cob qhia.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Lus Cim: Yuav tsum muaj daim ntawv thov rau cov kev pabcuam txhais lus ntawm tus kheej thiab virtual remote interpreter (VRI).
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Cov kws kho mob tuaj yeem siv OHC Daim Ntawv Qhia Txog Kev Tshaj Tawm los tshaj tawm Alliance tus tswv cuab lwm qhov kev pab them nqi kho mob.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Cov kws kho mob tuaj yeem siv daim foos no txhawm rau taug qab tus neeg mob thov rau daim ntawv tsis txaus siab / tsis txaus siab.
Cov kws kho mob yuav tsum ua kom tiav daim foos no rau txhua tus tswv cuab uas xav tau kev thauj mus los tsis yog xwm txheej ceev (NEMT) ua ntej kev thauj mus los tuaj yeem pom zoo.
Lub Alliance txhawb cov kws kho mob kom muaj kev sib tham txog kev npaj lub neej kawg uas tshwm sim nrog cov neeg mob hnyav, tso cai rau lawv xaiv cov kev kho mob uas lawv xav tau thiab pab xyuas kom lawv cov kev xav tau raug qhuas los ntawm cov kws kho mob.
Practices can self-refer to Practice Coaching to receive tailored guidance, quality improvement resources, and support in achieving their clinical and operational goals.
Siv daim foos no txhawm rau xa cov tshuaj ua ntej tso cai thov rau Alliance Care IHSS cov tswv cuab.
Siv daim foos no rau kev siv tshuaj khomob, HCPCS J-code thov thiab lwm yam kev thov tshuaj IV uas yog tus kws kho mob/tsev kho mob.
Cov neeg muab kev cog lus tuaj yeem siv daim ntawv no los thov cov ntaub ntawv them rov qab los ntawm Alliance. Thov nyeem cov lus qhia tab kom tag nrho ua ntej sau thiab xa daim foos.
Cov kws kho mob tuaj yeem siv daim ntawv no los hloov pauv yooj yim rau kev tso cai ua ntej.
Senate Bill 137 xav kom Alliance thov cov ntaub ntawv tshiab los ntawm cov chaw muab kev pabcuam tsis tu ncua los xyuas kom meej tias cov ntaub ntawv raug tshaj plaws rau koj cov kev coj ua suav nrog hauv peb Cov Chaw Pabcuam.
Cov kws kho mob tuaj yeem siv daim ntawv no los qhia txog kev them nyiaj ntau dhau los ntawm Alliance.
Ua kom lub Alliance paub txog cov kev hloov pauv rau koj qhov kev coj ua yuav ua rau kev xa ntawv xa mus rau qhov chaw nyob kom raug, cov nyiaj them poob haujlwm raug them, thiab tsuas yog cov neeg ua haujlwm tam sim no tau nkag mus rau cov ntaub ntawv hauv Chaw Pabcuam Portal.
Cov kws kho mob tuaj yeem siv daim foos no los ua qhov kev tsis sib haum xeeb nrog Alliance.
Txhawm rau teeb tsa Tus Kws Kho Mob Portal tus account, cov kws kho mob yuav tsum tau nyeem thiab lees txais Daim Ntawv Pom Zoo Qhia Txog Kev Noj Qab Haus Huv.
Cov kws kho mob tuaj yeem siv daim foos no los kuaj xyuas tus kws kho mob txog kev kuaj mob / kev npaj kho mob.
Ua kom tiav daim foos no kom thov kom tus tswvcuab Alliance raug xa rov qab mus rau tus kws khomob tshiab (PCP).
Lub Alliance yuav tsum muaj daim ntawv no ua tiav thiab daim ntawv W-9 los ua cov ntaub ntawv thov thiab / lossis kev tso cai.
Daim foos TotalCare (HMO D-SNP) yog siv thaum xa cov ntaub ntawv cuam tshuam nrog cov kev thov uas twb tau xa lawm.
Cov kws kho mob thiab cov koom haum koom nrog hauv TotalCare (HMO D-SNP) Dual Eligible Special Needs Plan (D-SNP) network yuav tsum ua tiav kev cob qhia txhua xyoo txog Model of Care (MOC) uas tau pom zoo los ntawm Plan.
Xa daim ntawv thov kev tsis txaus siab lossis kev thov rov hais dua ntawm TotalCare.
Non-Par Providers (Non-Contracted Providers) must complete this form to initiate any TotalCare D-SNP provider appeals.
Yog tias koj txaus siab los ua tus muab kev pabcuam Alliance, mus saib ntawm Koom Nrog Peb Pab Pawg Kws Kho Mob phab.
Cov kws kho mob tuaj yeem siv daim ntawv no los thov kev thauj mus los tsis yog xwm txheej ceev (NEMT) rau cov tswv cuab ntawm Alliance.
Cov kws kho mob tuaj yeem siv daim foos no los thov kev tso cai rau cov kev pab cuam kho mob sab nraud, kev tso cai xa mus rau sab nraud thiab thov cov khoom siv kho mob ntev.
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