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 (to replace Provider Network Membership 12/18/20) 10-01.01 Provider Manual 10-01.02 Procurement of Provided Services 10-01.03 Network Development & Capacity Evaluation 10-01.05 Person-Centered Planning (revised 11/23/20) 10-01.06 Self Determination and Self-Directed Services (new 11/23/20 - service providers only) 10-01.08 Environment of Care Standards for Residential Providers 10-01.10 Recovery Based Services (new 11/24/20) 10-01.15 Multi-Systemic Therapy (MST) (This procedure applies to LifeWays Contracted Providers) 11/24/20
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