Education & Workshops
Training workshops at locations throughout the state, web-based educational modules and webinars.
Newsletters, manuals, credentialing information, policy memos and other helpful information.
A list of Medical Policies, articles by Medical Review Staff and Experimental/Investigational services.
Quality-Based Reimbursement Program
Detailed information regarding QBRP, a program designed to monetarily reward providers for quality.
Precertification / Prior Authorization
A resource for determining member coverage before performing services or prescribing medication.
Preventative Services Guidelines
A guide to preventative services available.
Electronic prior authorization for prescribers and pharmacists.
EFT, OPL, CAQH, Predetermination Requests and many other helpful forms.
A list of eNews notifications.
Sign up for email notifications regarding news and updates.