Manuals, Forms and Resources

We will continue to add resources to this section over the next several months.

• Allwell Provider Manual 2019 (PDF)
• Allwell Provider Manual 2018 (PDF)
• Community HealthChoices Provider Manual (PDF)
• Provider Billing Manual (PDF)
• Provider FAQs (PDF)
• Medicaid Inpatient Prior Authorization Form (PDF)
• Medicaid Outpatient Prior Authorization Form (PDF)
• Medicare Inpatient Authorization Form (PDF)
• Medicare Outpatient Authorization Form (PDF)
• Medication Prior Authorization Form (PDF)
• Obstetrical Needs Assessment Form (PDF)
• General Specialty Medication Prior Authorization Form (PDF) 
• Consent For Provider to File a Complaint or Grievance for Participant Form (PDF) 
• Qualified Medicare Beneficiaries-Billing FAQ (PDF)
• Non-PAR Provider PA (PDF)
• PAR Provider PA (PDF)