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Getting Started
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Forms and Documents
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FAQ
2024 Marketplace Provider Manual
2023 Marketplace Provider Manual
Prior Authorization LookUp Tool
Kentucky Marketplace Pharmacy Prior Authorization Request Form
Q1 2025 Matrix
Q1 2025 Provider Authorization Guide/Service Request Form
Provider Bulletin of changes
Prior Authorization Codes Matrix for 2024 Q3
2024 Q2 PA Guide
Prior Authorization Codes Matrix for 2024 Q1
MCG Cite AutoAuth for Advanced Imaging Requests
Meet the Provider Services Team
Important Contact Info
Marketplace Provider Orientation
Marketplace Appeal Form
Health Education and Care Management Form
Request to Add a New Provider
Facility/HealthCare Delivery Organization (HDO)/Long Term Special Services (LTSS) Credentialing Application
No Surprises Act - Independent Dispute Resolution Form (Non-Contracted Providers only)