Provider Manual
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Provider Contract Regulatory Addenda
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Prior Authorization Forms

Florida Prior Authorization Request Form
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Indiana Prior Authorization Request Form
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Texas Prior Authorization Request Form
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New Mexico Prior Authorization Request Form
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Post Acute Care Authorization Form
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Prior Authorization Form - Other
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Provider Prior Authorization Tool
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Reports
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State Specific Appeals
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Medical Coverage Policies
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Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage. 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization.