Provider manuals and guides
- Quick reference guide (PDF)
- Provider manual (PDF)
- Dental provider supplement (PDF)
- Discharge planning guide (PDF)
- Minor rights addendum (PDF)
- Access to care standards
- Medical (PDF)
- Behavioral health (PDF)
- HEDIS® Documentation and Coding Guidelines
- COMPASS Program Guide (PDF)
- Collecting Social Determinants of Health Data to Address Enrollees’ Unmet Needs (PDF)
- Using Z Codes: The Social Determinants of Health (SDOH) (PDF)
Quality Enhancement Program
We are committed to helping you deliver the best care to your patients. In the effort to meet our providers’ needs and priorities for care delivery, we created the Quality Enhancement Value-Based Compensation Program (PDF) for participating providers. We also developed a document to help you understand your QEP score.