Providers

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Welcome Providers! Here you can access printable versions of our clinical practice guidelines and provider manual, search the provider directory, obtain necessary forms that can be completed on-line, review Frequently Asked Questions about Provider and Claims Issues and more! You can also find out how to contact us if you have any questions.

Provider Resources

• Provider Manual and Forms
  • Provider Manual - Updated March 2010
  • Practice Information Change Form
  • Transportation Reimbursement Log
  • Incident Form
  • Aids Institute Order Form
  • Providers Physical Form
  • Medicaid Transportation Prior Approval Form
• Benefits Summary
  • Benefits Summary
  • Prior Authorization Guide for Participating Providers
  • Ambulatory Surgery Procedures Requiring Precertification
  • NHP CHP Formulary 2010
• DOH Reporting Requirements
  • Compendium of Public Health Requirements & Recommendations
  • Diseases and Conditions that must be reported to the NYC DOH & Mental Hygiene + Form
  • Citywide Immunization Registry
  • 24 Hour PCP Coverage Notice
  • 24 Hour Prenatal Provider Coverage Notice
  • Appointment Scheduling Standards
• Practice and QARR Guidelines
• Frequently Asked Questions
• Helpful Links
• Contact Us
  • Phone/Contact Reference Sheet
  • UM Claims Procedures Summary