Forms & publications
Notice: If you are a biller or provider, visit our Billers and Providers forms library.
Parents guide to Family Initiated Treatment
Patient review and coordination program provider selection
Form to select a provider for the patient review and coordination program.
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Premium Payment Program
Overview of the Premium Payment Program requirements, and how to apply.
Premium payment program application
Application for the Premium Payment Program.
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Prior authorizations and correctional facilities release to SUD residential facilities
HCA guidance on prior authorizations and correctional facilities release to SUD residential facilities.
Problem gambling affects everyone rack card (82-0185)
This document is a rack card promotional piece describing the affects of problem gambling and where to get help.
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Processing Apple Health applications for deceased individuals
Instructions for processing Apple Health applications for MAGI-based and Classic Medicaid deceased individuals.
Protecting PNA with VA TPR
Example of Personal Needs Allowance (PNA) with Veteran's Administration (VA) Third Party Resources (TPR)