Home
Forms and Practice Support
FORMS AND PRACTICE SUPPORT
Practice Support
- 360 Comprehensive Assessment Form 2020
- Behavioral Health
- Cigna Medicare ID Cards
- Clinical Practice Guidelines – 2019
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey Flyer
- Closing HEDIS Care Gaps Via Telehealth
- Health Outcomes Survey (HOS) Flyer
- Provider Directory
- Provider Online Portal – Claimstat MCIS (Arizona only)
- Provider Online Portal – HSConnect
- Quick Reference Guide
- Quick Reference Guide – Oncology
- Special Needs Plans Model of Care Training
- Stay Informed – Provider Updates
Part B Drugs/Biologics
- Drugs/Biologics Part B Precertification Form
- Drugs/Biologics Part B Precertification Form - Part B Step Therapy Avastin - Effective 1/1/2021
- Drugs/Biologics Part B Precertification Form – Durable Medical Equipment (DME) Diabetic Testing Supplies Request
- Drugs/Biologics Part B Precertification Form - Part B Step Therapy Herceptin - Effective 1/1/2021
- Drugs/Biologics Part B Precertification Form – Part B Step Therapy Neupogen and Granix
- Drugs/Biologics Part B Precertification Form – Part B Step Therapy Remicade
- Drugs/Biologics Part B Precertification Form - Part B Step Therapy Rituxan - Effective 1/1/2021
- Drugs/Biologics Part B Precertification Form - Part B Step Therapy Visco - Effective 1/1/2021
- Part B Step Therapy Quick Reference Guide
- Part B Step Therapy Quick Reference Guide - Effective 1/1/2021