Behavioral Health Services
The Health Plan considers the primary care physician (PCP) to be the gatekeeper of the member's health care. In keeping with this premise, providers are responsible not only to treat our members, but to collaborate with the PCP to guarantee total patient care.
The Health Plan Pharmacy Services Department wants to help you support your patients and customers. Find information on our drug formularies, prior authorization forms, specialty drug list, and more.
Dual-Eligible Special Needs Plan - Medicaid and Medicare
The Health Plan administers a Medicare D-SNP under our Medicare Advantage for members who have dual coverage with both Medicare and Medicaid coverage. These "dual-eligibles" are individuals who are entitled to Medicare and are also eligible for some level of assistance from their state Medicaid program.
Find standards, guidelines and program descriptions.