Forms & Reference Guides

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View or Download Forms, Manuals, and Reference Guides

In this section of the Provider Resource Center you can download the latest forms and guidelines including the Provider Manual and Quick Reference Guides for each plan that Community Health Choice offers.

Forms and Guides by Plan:

STAR/CHIP Provider Forms

Prior Authorizations

Allergy Skin Testing and Allergy Therapy Assessment Tool

Maternity Case Management Program

Member Mammogram Guide:

Manuals

MAXIMUS’ THSteps Form

Links

Quick Reference Guides

Synagis Program

Clinical Practice Guidelines

Provider Complaints

Provider Medical Appeals

Provider Claims Payment Appeal

Member Requests

STAR+PLUS Provider Forms

Provider Manuals

Quick Reference Guides

Provider Complaints

Provider Medical Appeal

Attendant Compensation Rate Enhancement Program (ACEP)

Provider Claims Payment Appeal

Medicare Provider Forms

Provider Manuals

Prior Authorizations

Quick Reference Guides

Allergy Skin Testing and Allergy Therapy Assessment Tool

Clinical Practice Guidelines

Provider Medical Appeals

Provider Claims Payment Appeal

Member Requests

Health Insurance Marketplace Provider Forms

Provider Manuals

Allergy Skin Testing and Allergy Therapy Assessment Tool

Provider Medical Appeals

Provider Claims Payment Appeal

Prior Authorizations

Maternity Case Management Program

Member Mammogram Guide:

Member Requests

Member Appeals