Member Handbook, Provider Directory, Preferred Drug List, Forms, and Policies
Here are links to the manuals, forms, and policies available to you.
- Member Handbook - English (PDF)
- Member Handbook - Spanish (PDF)
- Provider Directory (PDF) - Updated April 2021
- Preferred Drug List
- Primary Care Provider (PCP) Change Form (PDF) - Coming Soon
- Designation of Authorized Representative Form (PDF)
- Utilization Management Policy (PDF) - Coming Soon
- Opioid Misuse Prevention Program Policy (PDF) - Coming Soon
- Opioid Misuse Prevention Lock-In Policy (PDF)
- In Lieu of Services (ILOS) Policy (PDF)
Any documents and items offered in electronic format can be requested in paper format. To request a document in paper format, please contact Member Services at 1-833-552-3876 (TTY: 711).
Once you have completed your request, the paper format item(s) will be mailed within 7 business days from the date of the request.