Hospital Info

Urgent Care Info

Electronic Claims Submission

Health Plan Language Assistance Program Contact Information

IMG NEW RX Auth form use 9.8.17

DMHC Timely Access to Care Guidelines

CHDP Information

2017 CHDP Practioners

2017 CHDP Preventative Health

2017 CHDP Program Letter 17-01

2017 CHDP Program Letter 17-02

2017 CHDP Provider Information 17-03

2017 CHDP Program Letter 17-04

CCS Information

Approved HRIF Community Hospitals 2017

Approved HRIF Regional Hospitals 2017

CCS Approved Hospitals 08.22.17

CCS Paneled Provider 08.19.17

High Risk Infant Follow Up Criteria 2017

2017 CCS NL 01-0117 Lumacaftor Ivacaftor- Orkambi

2017 CCS NL 02-0217 Eteplirsen- Exondys 51

2017 CCS NL 03-0317 Continuous Glucose Monitoring

2017 CCS NL 04-0317 Enteral Nutrition Products

2017 CCS NL 05-0317 Ivacaftor- Kalydeco

2017 CCS NL 06-0317 Nusinersen-Spiraza

2017 CCS NL 07-0317 Medical Therapy Program

2017 CCS NL 08-0717 Deflazacort- Emflaza

Screening, Brief Intervention and Referral to Treatment (SBIRT)

SBIRT Attestation

Provider Letter 15-242_CA_SBIRT Training Attest

Provider Letter 15-243_CA_SBIRT Training Attest PPGs

Comprehensive Perinatal Services Program (CPSP)

Comprehensive Perinatal Services Program

CPSP Assessment Form

CPSP-Provider Handbook