Documents

• AIM Portal Genetic Testing User Guide
  
• AIM Portal Radiology and Cardiology Guide
  
• Behavioral Health Panel Toolkit
  
• CAHPS Reference Guide (updated 1/29/2024)
  
• Concurrent Use of Opioids and Benzodiazepines (COB) (updated 2/5/2025)
  
• COVID-19 Benefit and Reimbursement Policy FAQ
  
• COVID-19 Diagnostic (Viral) Testing and Antibody (Serology) Testing Policy
  
• COVID-19 Provider Relief FAQ
  
• Dual Care (D-SNP) Quality Measures
  
• InTouch for Providers Resource Guide
  
• Medicare AWV Telehealth Component Guide
  
• Medicare Stars Measurement Year (MY) 2025 Guidance for Providers (updated 1/15/2025)
  
• Minimizing Polypharmacy In Older Adults (updated 1/12/2024)
  
• Naloxone For Opioid Safety
  
• Opioid Medication Coverage FAQ for Medicare Providers
  
• PacificSource Provider Manual
  
• Peer-to-Peer FAQ
  
• Polypharmacy - Use of Multiple Anticholinergic Medications in Older Adults (POLY-ACH) (updated 2/11/2025)
  
• Provider Access Standards
  
• Safety and Monitoring Program FAQ for High Risk Medications
  
• Supplemental Data Submission FAQ
  
• Telemedicine and Telehealth FAQ
  
• Tips for the Medicare Health Outcomes Survey Measures
  
• TransactRx
  
• Transitions of Care Metric Description and Workflow (updated 3/25/2024)
  

Forms

• Auto-Recoupment Enrollment Form
  
• Care Coordination and Case Management Referral Form
  
• Contested Refund Form
  
• Corrected Claim Form
  
• CVS Caremark Mail Order Prescription Fax Form for Prescribers
  
• Dental Provider Contracting Interest Form
  
• EFT/ERA Election Form
  
• Health Services Prior Authorization Request Form (updated 5/12/2025)
  
• Hospice Pharmacy Prior Authorization Verification Form
  
• Inpatient Utilization Review Form
  
• Medicare Non-Coverage for Home Health (updated 5/14/2025)
  
• Medicare Non-Coverage for Skilled Nursing Facilities (updated 5/14/2025)
  
• Medicare Non-Coverage Instructions (updated 2/14/2025)
  
• Pharmacy Prior Authorization Form (updated 9/28/2025)
  
• Provider Appeal Form (updated 2/18/2025)
  
• Provider Contracting Interest Form - OR and WA
  
• Provider Information Request
  
• Provider OffShore Operations Attestation
  
• Provider Ownership and Acquisition Change Request Form
  
• Waiver of Liability for Non-Contracted Provider Claim Appeals