Behavioral Health – Provider Resources

Provider Resources

Provider Manual
Provider Manual

Code of Conduct
Code of Conduct 3 4 March 2017

Formulary
LPS FORMULARY 12 2016

Lab Requisition
(Coming Soon)

Non-TRR Services
Non-TRR Services Request Form

Prior Authority Form
Prior Auth Form

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

Incident Report Form
Incident Report Form

Incident Report Death Form
Incident Report Death Form