Materials
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Provider portal user guide (PDF)
EFT ERA Process - Provider communication (PDF)
Cotiviti Coding Validation (PDF)
ConnectCenter user guide (PDF)
Getting started with provider management (PDF)
Getting started with claims (PDF)
Getting started with eligibility (PDF)
Getting started with claim status (PDF)
Keying a professional (CMS1500) claim online (PDF)
Keying an institutional (UB-04) claim online (PDF)
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Shared decision-making aids are communication tools used as a way for providers and patients to make informed health care decisions based on what is important to the patient. They do not replace physician guidance but are intended to help complement the discussions between patients and physicians on treatment decisions.
Below are evidence-based aids that provide information about treatment options, lifestyle changes, and outcomes.
American Heart Association | Health Topics
Diabetes | American Heart Association
Flu Prevention | American Heart Association
Heart Facts | American Heart Association
Depression Medication Choice | Mayo Clinic
Forms
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EPSDT Medical Necessity From (PDF)
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Medical Necessity Form (PDF)
Reconsideration and Appeal Form (PDF)
Legacy Provider Portal registration form (PDF)
Notification of pregnancy form (PDF)
Primary care provider (PCP) change request form (PDF)
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Notification to create authorization in EVV/Authenticare for Home Health Care Services (PDF)
Standard prior authorization fax form (PDF)
Behavioral health prior authorization fax form (PDF)
KanCare behavioral health inpatient request form (PDF)
Kancare behavioral health outpatient request form (PDF)
Member materials and forms
Find all the materials and forms a member might need — right in one place.
You can also access the list of member rights and responsibilities.