Reference Materials

• 2022 Provider & Billing Manual (PDF)
• 2021 Provider and Billing Manual (PDF)
  
• Quick Reference Guide (PDF)
• ICD-10 Information
• Payspan (PDF)
• Secure Portal (PDF)
• Provider Portal Enhancements: Claim Reconsideration and Denial Explanations (PDF)
• Provider Town Hall (PDF)
  
• No Surprises Act Open Negotiation Form (PDF)
  

Medical Management/Behavioral Health

• Prior Authorization Guide (PDF)
• Inpatient Prior Authorization Fax Form (PDF)
• Outpatient Prior Authorization Fax Form (PDF)
• Notification of Pregnancy (NOP) Form (PDF)

Quality

• Quality Improvement (QI) Program
• Practice Guidelines (PDF)
• Cultural Competence and Linguistics Appropriate Services (CCLAS) Program (PDF)

National Imagine Associates (NIA)

• NIA Website
• NIA Quick Reference Guide (PDF)
• NIA FAQ (PDF)