Access forms and documents, including a guide to register new accounts, advanced directives, sample member ID cards, quick reference guide and other resources.

Medicare Advantage Provider Information

Special Needs Plans Model of Care Provider Training

D-SNP MOC Provider Training

Medicare Advantage Provider Manual

Quick Reference Guide – Texas

Provider Portal Overview Guide

Sample Member ID Cards

Changes for new Medicare ID Card numbers

Health Care Decision Making, Advance Directives – Texas

Declaration And Living Will

Durable Power Of Attorney

Medicare Advantage Provider Forms

Prior Authorization Request form 

PCP Member Transfer Request form 

Waiver of Liability Statement

Medicare Advantage Provider Documentation Education

Access Education Resources

Medicaid Resource

Texas Medicaid Provider Procedures Manual

STAR+PLUS Handbook | Texas Health and Human Services

Utilization Management and Payment Policies

Readmission Reimbursement Policy

Long Term Acute Care Clinical Criteria

Sepsis Payment Policy

Prior Authorization List

Emergency Department Coding Policy

Clinical Guideline Arterial Revascularization Lower Extremities

For Providers

Access forms and documents, including a guide to register new accounts, advanced directives, sample member ID cards, quick reference guide and other resources.

Medicare Advantage Provider Information

Medicare Advantage Provider Manual – Texas 

Quick Reference Guide 

Provider Portal Overview Guide 

Provider Portal New Account Registration Guide

Sample Member ID Cards 

Changes for new Medicare ID Card numbers 

Health Care Decision Making, Advance Directives – Texas 

Declaration And Living Will 

Durable Power Of Attorney 

Waiver of Liability Statement 

Medicare Advantage Provider Forms

Prior Authorization Request form 

PCP Member Transfer Request form 

Provider Demographic Change form 

Medicare Advantage Provider Documentation Education

Access Education Resources

Utilization Management and Payment Policies

Readmission Reimbursement Policy

Long Term Acute Care Clinical Criteria

Sepsis Payment Policy

Prior Authorization List 2023

Emergency Department Coding Policy

Clinical Guideline Arterial Revascularization Lower Extremities