Downloads for Providers

Provider Manual

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1. Table of Contents
2. Welcome Letter
3. Introduction
4. Guidelines for Providers
5. Eligibility
6. Covered Benefits
7. THSteps
8. Emergency Services
9. BH Services
10. Medical Management
11. Claims
12. Complaints and Appeals
13. DCHP Quality Program
14. Members Rights
15. Addendum - 120 Day Claims Appeal Deadline

Claims Requirements and Companion Guides for Providers

Requirements for CMS-1450 Claims Forms

Requirements for CMS-1500 New Form - for STAR and CHIP members

Health Care Claim: Institutional (Companion Guide)

Health Care Claim: Professional (Companion Guide)