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