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 56.29 kB)
- for Medicare Advantage members
Policy and Procedure Documents:
- Credentialing Procedures (pdf 469.64 kB)
- Medical Record-Keeping Standards (pdf 80.18 kB)
Medicare and Medicaid Fraud and Abuse
