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Medical Policy and Clinical UM Guidelines

View our medical policies and clinical UM guidelines

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Kansas HealthWave 19 and 21

PW_A085536
Medicaid and Children’s Health Insurance Program

Provider Resources

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

PDF

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

PDF

EFT/ERA Enrollment Form

07/21/08

Word

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

PDF

 

Quality Improvement Program

Date

Format

QIP Summary

01/10

PDF

HEDISĀ® Descriptions

09/09

PDF

HEDIS Measure Physician Documentation Guidelines and Administrative Codes

11/09

PDF

20 Principals of Customer Care

10/06

PDF

Clinical Practice Policies

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-

Preventive Health Care Guidelines

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-

 

Prior Authorization and Preservice Review

Date

Format

Services Requiring Prior Authorization

08/26/09

PDF

Request for Preservice Review

08/25/08

Word

Prior Authorization Toolkit

-

-

UM Clinical Guidelines

02/10

PDF

 

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-

Health Education

Date

Format

Prenatal Program

-

-

UniCare Cultural Competency Toolkit

04/10

PDF

EPSDT HealthWave Kan Be Healthy Information

-

-

Health Education Programs

-

-

Interpreter Services

-

-

 

Provider Communications

Date

Format

Provider Operations Manual and Important Updates

-

-

Provider Newsletters

-

-

CHIPRA, February 2009

02/09

PDF

 
Additional Programs and Services 

Date

Format

Pharmacy Information

-

-

Specialty Pharmacy Infused/Injectable Forms

-

-

Specialty Pharmacy Infused/Injectable Drug Prior Authorization List

02/06/09

PDF

 

Forms and Tools

Date

Format

Forms Library

-

-

How to Access Preventive Care Forms Online

12/10/09

PDF

Desktop IVR Reference Guide

03/09

PDF

Member Handbook/Evidence of Coverage (PDF)

01/01/09

PDF

Provider Directory (PDF)

04/10

PDF

Urgent Care Clinic List

06/09

Excel

 
Standards and Policies 

Date

Format

Notice of Privacy Act

04/07

PDF

Understanding Fraud & Abuse

03/01/10

PDF

Advanced Directives

07/01/09

PDF

UniCare Medical Policies

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© 2009 UniCare