Provider Educational Materials
Medical Coverage Policies
Medical Coverage Policy EED
Medical Coverage Policy - Nitric Oxide
Medical Coverage Policy - Continuous Glucose Monitoring in Interstitial Fluid
ManualsProvider Manual – effective 2/1/17
FormsPregnancy Notification Form
Prior Authorization Form
Provider Information Change Form (PIF)
EFT Form - Claim dates of service 1/1/17 and after
ERA Form - Claim dates of service 1/1/17 and after
Provider Complaint Form
Universal Step Therapy Form
GuidesQuick Reference Guide 2017
What is Obamacare/The Affordable Care Act?
Obamacare, officially known as The Affordable Care Act, was signed into law on March 23, 2010. The law significantly reforms our health care system and aims to ensure affordable health coverage is available to those who don't receive it through an employer. The law mandates that Americans must purchase health insurance, but some people will qualify to get help paying for it if they meet certain criteria. The majority of the reforms begin in 2014, though it won't be completely rolled out until 2022.