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Provider materials, forms and helpful links

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Materials

Provider manual (PDF)

Access2Care manual (PDF)

SKYGEN dental manual (PDF)

SKYGEN ocular manual (PDF)

Orientation kit overview (PDF)

Welcome letter (PDF)

Welcome packet (PDF)

Provider FAQ (PDF)

Contact information sheet (PDF)

Electronic authorization entry guide (PDF)

Reconsideration, appeal and resubmission guide (PDF)

Identifying and reporting member abuse, neglect or exploitation (PDF)

ConnectCenter user guide (PDF)

Getting started with provider management (PDF)

Claim creation video tutorial

Getting started with claims (PDF)

Getting started with eligibility (PDF)

Getting started with claim status (PDF)

Uploading 837 claims (PDF)

Keying a professional (CMS1500) claim online (PDF)

Keying an institutional (UB-04) claim online (PDF)

Shared decision-making aids are communication tools used as a way for providers and patients to make informed health care decisions based on what is important to the patient. They do not replace physician guidance but are intended to help complement the discussions between patients and physicians on treatment decisions.

Below are evidence-based aids that provide information about treatment options, lifestyle changes, and outcomes.

American Heart Association | Health Topics

Diabetes | American Heart Association

Flu Prevention | American Heart Association

Heart Facts | American Heart Association

Mayo Clinic | Care that fits

Statin Choice | Mayo Clinic

Depression Medication Choice | Mayo Clinic

Cardiovascular Primary Prevention Choice | Mayo Clinic

Provider Liaison Contact Map - Hospital, Physician, and Ancillary Providers (PDF)

Territory Map - Behavioral Health (PDF)

Territory Map - Home and Community Based Services (PDF)

Territory Map - Skilled Nursing Facilities (PDF)

Formularios

Electronic funds transfer (EFT) form (PDF)

Electronic remittance advice (ERA) form (PDF)

Legacy Provider Portal registration form (PDF)

Notification of pregnancy form (PDF)

Overpayment refund form (PDF)

Primary care provider (PCP) change request form (PDF)

Service coordination referral form (PDF)

Standard prior authorization fax form (PDF)

Behavioral health prior authorization fax form (PDF)

KanCare behavioral health inpatient request form (PDF)

Kancare behavioral health outpatient request form (PDF)

Helpful links

Agencia para la Investigación y la Calidad de la Atención Médica

Case Management Society of America: standards of practice

Centros de Servicios de Medicare y Medicaid

KanCare (Medicaid)

Kansas Department of Aging and Disability Services

Kansas Department of Health and Environment

Kansas Medical Assistance Program (KMAP)

KMAP provider log-in

Biblioteca Nacional Preventive Services Task Force: Apps for clinicians

Member materials and forms 

Find all the materials and forms a member might need — right in one place. 

Member materials and forms 

You can also access the list of Derechos y responsabilidades del miembro.