FORMS, GUIDELINES & DOCUMENTS Home Provider Relations Contracting Credentialing Pharmacy Policies, Guidelines & Forms Claims, Appeals & Complaints Service Requiring Prior Authorization Medical Policy EDI Provider Manual Clinical Practice Guidelines Education, Newsletter & Resources Subscribe to Provider Connection Newsletter Forms, Guidelines & Documents All Forms Notifications & Policies Newsletters Educational Prior Authorization Appeals Consent Complaint Fraud & Abuse General Forms Application & Updates 2025 2024 2023 2022 2021 2020 2019 2018 2017 and earlier February 2025 Newsletter November 2024 Newsletter August 2024 Newsletter May 2024 Newsletter March 2024 Prior Authorization Special Edition Newsletter February 2024 Newsletter 2024 Provider Portal Training May 2023 Newsletter August 2023 Newsletter November 2023 Newsletter Fraud, Waste & Abuse Provider Training Prior Authorization (Fax Only) Behavioral Health & Substance Treatment (Fax Only) Medicaid Integration Residential Treatment (Fax Only) Home Health (Fax Only) Hospice (Fax Only) SNF, Acute Rehab and LTAC (Fax Only) Consent Form Medical Claim Form Authorization for Release of Information Organizational Provider Credentialing Application New Provider Add Request Provider Information Update Form Provider Termination Request Form U of Utah Health Plans Credentialing Policy Medical Prior Authorization List Medical Pharmacy Prior Authorization List Healthy U Medical Pharmacy Prior Authorization List Upcoming Changes to Codes Requiring Prior Authorization February 2023 Newsletter – Special PRISM Edition February 2023 Newsletter November 2022 Newsletter August 2022 Newsletter May 2022 Newsletter Feb 2022 Newsletter Aug 2021 Newsletter May 2021 Newsletter February 2021 Newsletter November 2020 Newsletter August 2020 Newsletter May 2020 Newsletter February 2020 Newsletter November 2019 Newsletter August 2019 Newsletter May 2019 Newsletter February 2019 Newsletter End-of-Year 2018 Newsletter Fall 2018 Newsletter Summer 2018 Newsletter Spring 2018 Newsletter November 2017 Newsletter October 2017 Newsletter June 2017 Newsletter February 2017 Newsletter January 2017 Newsletter Spring 2016 Newsletter Summer 2014 Newsletter Cultural Sensitivity Training
