Provider Documents
Find our resource library below for Individual and Community plans.
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Medicare Star RatingsUnavailable
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Model of Care Training PresentationUnavailable
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Provider Manual
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Skill in Place COVID CriteriaUnavailable
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Skill in Place CriteriaUnavailable
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2026 Advantage Plan Services Requiring Prior Auth
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2026 Community Plan Services Requiring Prior Auth
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2026 MODEL OF CARE TRAINING ATTESTATIONUnavailable
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Medicare Prescription Drug Determination Request Form
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Medicare Prescription Drug Redetermination (Appeals) Request Form
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Online Coverage Determination (PromptPA)
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Request Part D Determination (Surescripts)
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Require Prior Authorization Policy/Criteria
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Comprehensive Formulary, Covered Drugs for 2026
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CoverMyMeds
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Medication Therapy Management (MTM) Program
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Part D Step Therapy Limits, 2026
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Prescription Prior Authorization Criteria