Please click on the links below for our Providers Quick Reference Guide or the Provider Manual :

Provider Quick Reference Page 1

Provider Quick Reference Page 2

Provider Manual - You must contact our Provider Relations Department to obtain a password to view the Provider Manual, the Clinical Guidelines,the Claims Appeals Guidelines and the HEDIS Criteria Letter.

Clinical Guidelines 2011

Claims Appeals Guidelines

HEDIS Criteria

The Jai Medical Systems Managed Care Organization Formulary is available online through Epocrates. Registration is free and is available at www.epocrates.com

 

The DHMH Provider website is available to check patient eligibility at: https://encrypt.emdhealthchoice.org/emedicaid/_Portal/provWelcome.jsp

 

Provider Website Login