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Health plan, contract, and program information
Network-Specific Info
Appendices, clinical criteria, and treatment guidelines
Provider Handbook
Login to the Provider Portal
Provider Portal
Clinical, administrative, and EAP forms
Forms
Info for claims submission, including Availity Essentials provider resources
Claims
Medical Necessity Criteria (MNC), also known as clinical criteria
Medical Necessity Criteria
Video tutorials which help providers navigate and perform tasks
Video Tutorials
Upcoming Webinars
10/12/22 @ 2:00PM eServices Overview
10/12/22 @ 3:00PM Behavioral Health 101
10/18/22 @ 12:00PM Managed Care 101
10/19/22 @ 2:00PM Claims Submission Guidelines
10/19/22 @ 3:00PM Person-Centered Planning
More Upcoming Webinars Webinar Archive
Behavioral Health Concerns
More Upcoming Webinars Webinar Archive
Provider Spotlight
Psychological/Neuropsychological Testing Update
Psychological/Neuropsychological Testing CPT Code Changes Effective 1/1/2019
ABA CPT Coding Changes Effective 1/1/2019
Payspan
Important Tools
The Valued Provider eNewsletter
Medicare Advantage Providers: Required CMS Compliance Training
ICD-10 Provider Frequently Asked Questions
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Confidentiality