Children's Mercy Pedicatric Care Network
Resources: Quick Guides, Office Forms, Helpful Links
Forms:
- NICU/Well-Baby Notification Form
- NICU/Well-Baby Notification Form (fillable)
- PCN UM Office Hours
- Prior Auth Form
- Prior Auth Form (fillable)
- Private Duty Services Prior Auth Form
- PCP Change Form
- PCP Change Form (fillable)
- PCP Change Form Spanish
- PCP Change Form Spanish (fillable)
- Service Area Map
- Staff Change Form
-
Referral Form
To refer a PCN member to a Disease Management Specialist, fill out this form or call Care Integration:
1-888-670-7262.
Pregnancy Notification:
-
Missouri Providers:
Once you have identified a PCN Missouri member is pregnant, please complete the Notification of Pregnancy via the MHD NOP and Risk Screening Portal. -
Kansas Providers:
Once you have identified a PCN Missouri member is pregnant, please complete the Pregnancy Notification Form and submit to PCN.
UHC-MO Resources:
UHC-KS Resources:
HealthyBlue-MO Resources:
HealthyBlue-KS Resources:
Provider Authorization:
Helpful Links:
- Autism Speaks: 100 Day Kit for Newly Diagnosed Families of School Age Children
- CDC: Vaccine Conversations with Parents
- Children's Mercy Child Health Library
- Children's Mercy Health Sciences Library
- Greater Kansas City Medical Managers Association
- Healthy Blue MO Member Handbook
- Healthy Blue KS Member Handbook
- Immunization Action Coalition
- Individualized Education Plan (IEP) and Individualized Family Service Plan (IFSP)
- KanCare
- Kansas Medical Assistance Program (KMAP)
- MO HealthNet for Kids
- Northland Medical Managers
- UnitedHealthcare Community Plan of Missouri Member Handbook
- UnitedHealthcare Community Plan of Kansas Member Handbook
Additional Resources:
Lift Up KC:
- Access Lift Up KC, Children’s Mercy Kansas City’s tailored social care platform and directory powered by findhelp. Lift Up KC is simple, free, and can help connect patients and families in need of a little help. With just a zip code (no registration required), users can find hundreds of social need programs in their area to address food instability, housing instability & utility needs, transportation, job support, and much more.
In Partnership with CMH PCN
Get In Touch
2420 Pershing Road, Suite G10
P.O. Box 411596, Kansas City, MO 64141
888-670-7261
816-701-4525
Quick Links
Popular Links
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Children's Mercy Integrated Care Solutions