Behavioral Health – Provider Resources

Provider Resources

Provider Manual
Provider Manual

Code of Conduct
Code of Conduct 3 4 March 2017

Formulary
FORMULARY MEDICATIONS AND LABS UPDATED AUG 2018

Lab Requisition
(Coming Soon)

Non-TRR Services
Non Med Cvrd SRF-2018

Prior Authorization Form
Medication Prior Authorization Form Update Aug 2018

Early Refill or Greater than 30-day Supply
Early Refill or Greater than 30 Day Supply

Incident Report Form
ECI BH Incident Report Form Aug 18

Utilization Management Plan 2018
LIFEPATH SYSTEMS UM Plan 2018

Consolidated Local Service Plan (CLSP) 2018
CLSP Form O – 2018 – FINAL

Local Provider Network Development Plan (LPND) 2018
Revised LPS FY 2018 LPND