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Manuals, Forms and Resources

Manuals and Guides

Member Screenings and Program Referrals

Contracting and Credentialing

Medical Providers

Behavioral Health Providers

Pharmacy and Preferred Drug List (PDL)

Community Services Directory 

Find resources and support for patients' non-medical needs

Community Services Directory for Members

Hunger for Health: A Food Insecurity Toolkit for Providers

Claims Processing

Physical Health 

Patient Information & Consent

Physical Health Authorizations 

Physical Health Authorization Resources

Pregnancy Information & Resources

Hospice & Personal Care Services

ADHD Resources

Caring for Children with ADHD: A Resource Toolkit for Clinicians - Introduction & Access Instructions (PDF)

Requests / Recommendations

Provider Request Form (PDF)

Behavioral Health

Mental Health Rehabilitation – Adults

Mental Health Rehabilitation – Children


PRTF and In-Patient

Applied Behavioral Analysis (ABA)

Applied Behavioral Analysis (ABA) Authorization Request Form (PDF)


ASAM Crosswalk - Introductions to ASAM Criteria (PDF)

Crisis Services 

Outpatient Treatment Request Form (PDF)

Peer Support Services (PSS)

Peer Support Services Out-Patient Treatment Request Form (PDF)

Provider Manuals

Authorization Requests

Orientation and Reference Guides

Claim Dispute Form

Wellcare by Allwell Claims Dispute Form (PDF)

AEP Provider Resource

AEP Benefit Provider Resource (PDF)

Louisiana Department of Health

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