Provider Manual Home Page
Includes: Provider Network Membership; Provider Network Contract Management; Provider Network Credentialing; Provider Relations; Accreditation Requirements.
Provider Network Policies & Procedures: 10-01 Provider Network Management (1.2021) 10-01.01 Provider Manual (12/2020) 10-01.02 Auditing, Certification and Accreditation (12/2020) 10-01.03 Network Development & Capacity Evaluation (12/2020) 10-01.04 Delegating Managed Care Functions (12/2020) 10-01.05 Person-Centered Planning (4/2021) 10-01.06 Self Determination and Self-Directed Services (11/2020 - service providers only) 10-01.07 Infant Mental Health Services (12/2020) 10-01.08 Environment of Care Standards for Residential Providers (12/2020) 10-01.09 Respite Services (12/2020) 10-01.10 Recovery Based Services (11/2020) 10-01.11 Community Based Services (1/2021) 10-01.12 Primary Case Holder Services (2/2021) 10-01.13 Housing Assistance (1/2021) 10-01.15 Multi-Systemic Therapy (MST) (LifeWays Contracted Providers only 11/2020)
10-02 Provider Network Contract Management 10-02.01 Auditing Certification and Accreditation 10-02.02 County of Financial Responsibility (COFR) (revised 11/24/20) 10-02.03 Out of Network Contracting 10-02.04 Contract Development and Distribution (revised 11/24/20) 10-02.05 Disclosure of Ownership, Control, and Criminal Convictions 10-03 Credentialing (effective 12/18/20) 10-03.01 Credentialing and Privileging 10-03.02 Credentialing Application (replaces Provider Network Credentialing Application 11/24/20) 10-03.03 Credentialing Committee 10-03.04 Suspending, Limiting, and Terminating Credentialing 10-03.05 Provider Training Requirements (revised 11/24/20) 10-04 Provider Relations (revised 12/18/20) 10-04.01 Provider Orientation (revised 11/24/20) 10-04.02 Provider Resolution Process 10-04.05 Provider Claims Processing and Verification (revised 2/2021)
CARF Requirements for Unaccredited Providers