References and Other
Active Message Codes
Member List Additions by MSO
Administrative Center Member List
Basic Health Waiting Period for Pre-Existing Conditions
Member List by Clinic/PCP
Instructions for completing the CMS-1500 Claim Form
Member List Disenrollments by MSO
Health Insurance Claim Form (HCFA 1500)
Health Care Directives
Prior Authorization List
Pregnancy Report by PCP/Clinic
Sample Remittance Advice
Instructions for completing Form CMS 1450 (UB-04)
DSHS Contract Definitions
Provider Manual
- Introduction
- Policies and Procedures
- Forms and Tools
- References and Other
- State Programs Eligibility
- Medical Care Services replaces Disability Lifeline/GA-U
- Status Reporting, Program Counties, Medicare Providers
- Medical Records
- Directory of Services and Contacts
- Provider Relations
- Care Standards and Credentialing
- Changes to the Prior Authorization List and Utilization Guidelines for 2012
- Enrollee Benefits
- Medicare Advantage Eligibility
- Identification Cards
- Enrollee Rights and Responsibilities
- Interpreter Services
- Billing and Claims Payment
- Grievances and Appeals
- Care Management
- Utilization Management
- Case Management
- Member Review and Intervention Program (MRIP)
- Disease Management Program
- Clinical Care Criteria, Transition of Care
- Pharmacy Management
- Quality Program