Provider Manual

0. Table of Contents (PDF)
1. Introduction - How to Contact Us (PDF)
2. Verifying Member Eligibility (PDF)
3. Products and Benefits (PDF)
4. CCHP Provider Network (PDF)
5. Referral and Authorization Process (PDF)
6. Mental Health Parity (PDF)
7. Utilization Management Program (PDF)
8. Pharmacy Information (PDF)
9. Claims Procedures (PDF)
10. Access and Appointment Standards (PDF)
11. About HEDIS (PDF)
12. Quality Improvement Program (PDF)
13. Member Appeals and Grievances (PDF)
14. Language Assistance Services (PDF)
15. Advance Directives (PDF)
16. Member Rights and Responsibilities (PDF)
17. HIPAA Protected Health Information (PDF)
18. Fraud, Waste and Abuse (PDF)
19. Medicare Risk Adjustment (PDF)