2009 Provider Manual
About Suffolk Health Plan
Providers' Rights & Responsibilities
Provider Relations
Provider Participation
Primary Care
Specialty Care
OB-GYN & Family Planning
Emergency & Urgent Care
Behavioral Health
Referrals & Prior Authorization
Billing & Reimbursement
Utilization Management
Dental Provider
Ancillary Providers
Transportation Guidelines
QAPIP
QARR
External Monitoring & Evaluation
Public Health Reporting Requirements & Intervention
Practice Guidelines
Members' Right & Responsibilities
HIV/AIDS
Appendix
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2009 Provider Manual Appendices
Appendix Table of Contents
SHP Phone & Contact Summary
Benefits Summary
Medicaid Services Chart
Child Health Plus Formulary
NPI Application
SHP Referral Voucher
Prior Authorization Form
SHP IVR Instructions
SHP Practice Information Change Form
SHP – Ambulatory Medical Record Review Tool
Transportation Guidelines
CAGE Test
TWEAK Test
Mini Mental State
PHQ 9
Guidelines for Adolescent Preventive Services
Middle-Older Adolescent Questionnaire in Spanish
Parent/Guardian Questionnaire in English
Parent/Guardian Questionnaire in Spanish
Middle-Older Adolescent Questionnaire in English
Younger Adolescent Questionnaire in English
Younger Adolescent Questionnaire in Spanish
Preventive Care Guidelines for Adults
PCAP (State DOH) Prenatal Care Requirements
Appointment Scheduling Standards
24 Hour Access Contact System Requirements for PCPs
24 Hour Access Contact System Requirements for Prenatal Providers
NYSDOH Aids Institute Material Order Forms
Prenatal Care Notification and Home Care Auth Form
SHP Communicable Disease Reporting Requirements
Incident Report Form
Asthma Action Plan
Asthma Guidelines
Guidelines for Adult Diabetes Care
Smoking Cessation Guidelines
Ambulatory Surgery Procedures Requiring Precertification
QARR Codes
SHP Benefit Authorization and Referral Guide for Participating Providers
Colorectal Cancer Screening
Guidelines for Follow-up of Children with Elevated Blood Lead Levels
Lead Brochure
Lead Laws & Regulations
NY State Immunization Requirements for School
Hypertension Guide
Guide to Lowering Your Blood Pressure
Rapid HIV Test Link
H1N1 Flu Link
Seasonal Influenza Link
Case Management Referral Form
Suffolk Health Plan Compliance Program
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