Provider Resources

All Documents

• Affirmative Statement

• Alignment Provider Manual 

• Authorization Referral

• Case Management Referral Form

• CAQH Participant Information

• CMS Medicare (Parts C&D, FWA & General Compliance)

• Compliance Training

• Compliance Training Attestation

• Direct Referral Form

• Fraud, Waste & Abuse - Parts C&D - Training

• Member Rights & Responsibilities

• PPMC Credentialing Application

• Review Criteria

• Utilization Management Criteria