CHP Programs & Procedures
Check here for a description of Capital Health Plan programs and company procedures that affect your practice.
Capital Health Plan Medical Policies/ Clinical Criteria
Utilization Management Topics
Disease Management
Case Management
Grievances and Appeals Information
- for Commercial members (pdf 24.49 kB)
- for Medicare Advantage members
Policy and Procedure Documents:
- Credentialing Procedures (pdf 179.61 kB)
- Medical Record-Keeping Standards (pdf 66.20 kB)
Medicare and Medicaid Fraud and Abuse
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