Resources & FAQs

Prior Authorization Information

Pharmacy Resources

• Criteria and Forms

Medical Services:

• Medical Management Request Forms
• Prior Authorization Reference Guide

Durable Medical Equipment (DME):

• DME Provider Directory

Radiology:

• Radiology Authorization Management Program

Billing & Coding Information

• Administrative Billing / Coding Guidelines and Payment Policies
• Health Benefit Exchange Coverage Summaries and Billing Guidelines

Forms

• Provider Manual Forms

Fee Schedule Look-up

• Medicaid Products Fee Schedule Look-up

Directories

• Directories
• INTEGRITY (Medicare-Medicaid Plan) Pharmacy Locator
• INTEGRITY (Medicare-Medicaid Plan) Provider & Pharmacy Directory [PDF]

FAQs

• Provider FAQs
• Claims FAQs