View our medical policies and clinical UM guidelines
Recruiting and Contracting Materials
Date
Format
We're dedicated to HealthWave 19 and 21 populations and those who serve them. We invite you to join us. Call today to speak with a member of our provider recruiting team at 1-877-604-0462.
Summary of Provider Credentialing Program
04/10
PDF
Learn More About Our Programs
03/06
Provider Recruiting Information
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Request for Professional Provider Practice Information (Contract Application)
09/27/08
Word
CMS Ownership Disclosure Form
03/02/10
EFT/ERA Enrollment Form
07/21/08
Provider Fee Schedule This is a base schedule of covered benefits and does not imply any specific contractual arrangements or billing formats.
01/01/09
Quality Improvement Program
QIP Summary
01/10
HEDIS® Descriptions
09/09
HEDIS Measure Physician Documentation Guidelines and Administrative Codes
11/09
20 Principals of Customer Care
10/06
Clinical Practice Policies
Preventive Health Care Guidelines
Prior Authorization and Preservice Review
Services Requiring Prior Authorization
08/26/09
Request for Preservice Review
08/25/08
Prior Authorization Toolkit
UM Clinical Guidelines
02/10
Health Education
Prenatal Program
UniCare Cultural Competency Toolkit
EPSDT HealthWave Kan Be Healthy Information
Health Education Programs
Interpreter Services
Provider Communications
Provider Operations Manual and Important Updates
Provider Newsletters
CHIPRA, February 2009
02/09
Pharmacy Information
Specialty Pharmacy Infused/Injectable Forms
Specialty Pharmacy Infused/Injectable Drug Prior Authorization List
02/06/09
Forms and Tools
Forms Library
How to Access Preventive Care Forms Online
12/10/09
Desktop IVR Reference Guide
03/09
Member Handbook/Evidence of Coverage (PDF)
Provider Directory (PDF)
Urgent Care Clinic List
06/09
Excel
Notice of Privacy Act
04/07
Understanding Fraud & Abuse
03/01/10
Advanced Directives
07/01/09
UniCare Medical Policies
