Resources: Quick Guides, Office Forms, Helpful Links

Forms, Quick Guides, FAQs


NICU/Well-Baby Notification Form

NICU/Well-Baby Notification Form (fillable)

Prior Auth Requirements for MO PCN Members

Prior Auth Requirements for KS PCN Members

Prior Auth Code Lookup for MO PCN Members

Prior Auth Code Lookup for KS PCN Members

Prior Auth Form

Prior Auth Form (fillable)

Private Duty Services Prior Auth Form

Care Integration Program Guide

Case Management Quick Guide

Community Engagement Resource Application (CERA)

EPR-3 Asthma Guidelines

Healthy Habits Assessment

Healthy Habits Assessment - Spanish

NICHQ Healthy Care for Healthy Kids Toolkit

PCP Change Form

Pregnancy Notification Form (PNF)

Referral Form
To refer a PCN member to a Disease Management Specialist, fill out this form or call Care Integration:
1-888-670-7262.


Utilization Management Plan

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

Immunization Action Coalition

Individualized Education Plan (IEP) and Individualized Family Service Plan (IFSP)

KanCare

Kansas Medical Assistance Program (KMAP)

Missouri Care Member Handbook

MO HealthNet for Kids

Northland Medical Managers

UnitedHealthcare Member Handbook