Premierhealthplan.com

Preauthorization Requirements for Medical Specialty Drugs

WEBIf you have questions or need preauthorization forms, please visit our website or refer to the contact information below. Medicaid Managed Care, Health & Recovery Plan (HARP), & …

Actived: 1 days ago

URL: https://www.premierhealthplan.com/documents/d/global/php-medical-specialty-drug-preauthorization-list

January 18, 2024 MEDICAL SPECIALTY DRUG …

WEBDrug Category Drug Brand Name Drug Code (HCPCS/CPT) Safety Net Managed Medicaid (MMC) Safety Net Health and Recovery Program (HARP) CAR-T …

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Participating Provider Directory

WEBB-1803 (9/2022) 1 Hospital Affiliation Codes . Each physician listing contains Hospital Affiliation Codes. The Hospital Affiliation codes indicate where a physician has admitting …

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Language Assistance Premier Health Plan

WEBEnglish. Attention: If you speak English, we have free language help available for you. If you are a Child Health Plus or Managed Medicaid member, call 1-800-650- 4359. If you are …

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July 1, 2023 MEDICAL SPECIALTY DRUG

WEBDrug Category Drug Brand Name Drug Code (HCPCS/CPT) Safety Net Managed Medicaid (MMC) Safety Net Health and Recovery Program (HARP) CAR-T …

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Member Handbook, and Other Important Documents

WEBPage 2 of 2 ATTENTION: Language assistance services, free of charge, are available to you. Call 1-800-650-4359, TTY/TDD 1-800-662-1220. English

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Home Premier Health Plan

WEBPlease Note: Premier Health Plan members have now transitioned to Univera Healthcare and received a new member card in the mail. For more information about your coverage …

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Participating Provider Directory

WEBB-1803 (9/2022) 3 GHRC Greenfield Health & Rehabilitation Center GMC Geisinger Medical Center . GLC Guthrie Clinic LTD . GSDSC Guthrie Same Day Surgery

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SDS Portal Provider Guide

WEB2 • Click the “New Utilization Management Submission” button: • On the UM Submission page, select “Premier” from the Product drop-down menu. • Select the applicable Line of …

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Non-Discrimination Notice Premier Health Plan

WEBPO Box 4717. Syracuse, NY 13221. Phone: 1-800-614-6575 (TTY 711) Fax: 315-671-6656. You can file a grievance in person or by mail or fax. If you need help filing a grievance, …

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Specialty Pharmacy List for Medicaid Managed Care

WEBNABP/NCPDP NPI Pharmacy Name Address City State Zip Phone 3321661 1194759423 THE ALLIANCE PHARMACY 44 BOND ST WESTBURY NY 11590 516-876-0100

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www.premierhealthplan.com

WEBDear Member , This booklet includes the Formulary Guide and gives you easy to . understand information about your prescription drug coverage. The medications listed …

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Member Handbook, Member Contract and Other Legal …

WEBHMO-43 #71110999-R 03/06 Table of Contents A Special Message To Child Health Plus Members..1 Your Identification Cards 1..

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THIS NOTICE ALERTS YOU TO AN IN LIEU OF SERVICE THAT …

WEBthis notice alerts you to an in lieu of service that has been approved by the new york state department of health. new york state medicaid managed care

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2023 Premier Member Guidebook

WEBOur printed provider directories are updated regularly. If you would like the most recent provider directory, call Member Services at at 1-800-650-4359 (TTY 711). If …

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Notice of Privacy Practices

WEB165 Court Street Rochester, New York 14647 . XX22 Page . 1. NOVEMBER of . 5 2020. NOTICE OF PRIVACY PRACTICES . This notice takes effect April 14, 2003 and …

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Terms of Use Premier Health Plan

WEBPlease Note: Effective January 1, 2024, Premier Health Plan members will transition to Univera Healthcare.Soon you will receive a letter in the mail about this transition, as well …

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