Resources: Quick Guides, Office Forms, Helpful Links

Forms:


NICU/Well-Baby Notification Form

NICU/Well-Baby Notification Form (fillable)

Prior Auth Form

Prior Auth Form (fillable)

Private Duty Services Prior Auth Form

PCP Change Form

Pregnancy Notification Form (PNF)

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.

UHC-MO Resources:


Prior Auth Requirements for UHC-MO PCN Members

Prior Auth Code Lookup for UHC-MO PCN Members

UHC-KS Resources:


Prior Auth Requirements and Prior Auth Code Lookup for UHC-KS PCN Members

Aetna-KS Resources:


Prior Auth Requirements for Aetna-KS PCN Members

Prior Auth Code Lookup for Aetna-KS PCN Members

HealthyBlue-MO Resources:


Medical Prior Auth Requirements for Healthy Blue PCN Members

Medical Prior Auth Code Lookup for Healthy Blue PCN Members

Behavioral Prior Auth Code Lookup for Healthy Blue PCN Members

Provider Authorization:


Registration

Electronic Prior Authorization Portal Guide

Helpful Links


Aetna Better Health of Kansas Member Handbook

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 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:


Community Resources

EPR-3 Asthma Guidelines

Healthy Habits Assessment

Healthy Habits Assessment - Spanish

NICHQ Healthy Care for Healthy Kids Toolkit

In Partnership with CMH PCN