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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