Care1st Provider Manual Updates
Date: 10/16/23
The Care1st Provider Manual has been updated (October 2023 revision date) and is available on our website:
Visit our Care1st Website> For Providers > Provider Resources > Manuals, Forms and Resources
In addition to a link to the complete manual, each section of the manual has its own link. You may view, search and print as needed. The table below outlines the changes made by section:
Section | Title | Updates |
|---|---|---|
III | Provider Roles and Responsibilities | · Added Social Determinants of Health section · Added PCP Treatment and Referrals (BH) section · Updated Members with Special Health Care Needs section · Updated Appointment Availability Standards section |
IV | Member Rights and Responsibilities | · Updated Member Rights – Receive Information section |
VI | Covered Services | · Updated EPSDT – Screening Requirement section o Behavioral Health Services o Oral Health Services · Updated Pharmacy section |
VII | Behavioral Health Services | · Added and updated multiple sections |
IX | Medical Operations | · Added Augmentative and Alternative Communication (AAC) Devices section · Updated Pharmacy Management section · Added Pharmaceutical Requirements section · Updated Refunds section |
XI | Billing, Claims and Encounters | · Updated Timely Filing section · Updated Balance Due Claims section · Updated Claims Resubmission Policy section · Updated General mental Health/Substance Abuse Billing Guidelines |
If you do not have access to the internet and need a hard copy of the manual, please contact Network Management as outlined below.
Thank you!
Care1st Network Management
Ph 866.560.4042 (Options in order: 5, 7)
Fax 833.618.1507/E-mail SM_AZ_PNO@Care1stAZ.com