Forms & publications

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2017-2018 comparison of UMP monthly premiums

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This document lists the 2017 and 2018 monthly premiums for UMP members who are employees and retirees.

Publication

2018-2019 comparison of UMP monthly premiums

54-510

This document lists the 2018 and 2019 monthly premiums for UMP members who are employees and retirees.

Publication

ABA Therapy Printable Summary 2016

This document summarizes the information on Applied Behavior Analysis (ABA) Therapy coverage available on the UMP website.

Publication

ABA Therapy Services Preauthorization Form

This form is for requesting preauthorization of Applied Behavior Analysis (ABA) Therapy services.

Form

CAHPS Report 2016 UMP CDHP

External report on ratings for UMP CDHP in 2016

Report

CAHPS Report 2016 UMP Classic

External report on ratings for UMP Classic in 2016

Report

CAHPS Report 2016 UMP Plus—Puget Sound High-Value Network

External report on ratings for UMP Plus—Puget Sound High-Value Network in 2016

Report

CAHPS Report 2016 UMP Plus—UW Medicine Accountable Care Network

External report on ratings for UMP Plus—UW Medicine ACN in 2016.

Report

Chronic Opioid Attestation form

This form is for provider use. Use of opioids for more than 42 days may be authorized in 12 month intervals when the prescriber signs this attestation form. If a prescriber wants an attestation to be authorized for less than 12 months, the prescriber can include a specific end date on the form.

Form

COE Program brochure

This flyer gives an overview of the Centers of Excellence Program in 2019 for knee and hip replacement and spine care.

Publication

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