Forms & publications
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Add supporting documents to an existing authorization
A step-by-step guide for providers on adding additional supporting documents to a request in “pend” or “approve/hold” status.
Adding new users and assigning profiles
A resource for social service providers on adding new users to their domain and assigning profiles.
ADHD age and dose
ADHD therapy duplication
ADHD/Anti-Narcolepsy: Non-Stimulants – Viloxazine
Adjust, void, and resubmit social service claims
Instructions for social service providers on how to adjust, void, or resubmit a social service claim through ProviderOne.
Adjust, void, and resubmit social service medical claims
A resource for social service medical providers on adjusting, voiding, or resubmitting a social service medical claim through ProviderOne.
Administrative services organization contract
Affidavit of Lost, Stolen, or Destroyed Warrant (09-014)
Providers: Submit this form to request a replacement warrant (i.e., check).