Find Important Health Plan Information

Priority Health has important information for Medicaid members. This information is available online at priorityhealth.com. You may also call Customer Service toll-free at 888 975-8102 for a print copy. For hearing- or speech-impaired TTY/TDD, call 888 551-6761.

Safety and Quality Performance - Get information about doctor and hospital quality performance. See how hospitals are improving safety using Priority Health's online tools:

www.priorityhealth.com/safetyquality/patientsafety (hospital safety)
www.priorityhealth.com/safetyquality/apples (physician quality ratings)

You can also review Priority Health's most recent Quality Improvement Workplan, the Quality Improvement Program Description and our Annual Quality Improvement Evaluation. Call Customer Service for print copies.

Rights and Responsibilities - Know what you can expect from Priority Health and what Priority Health expects from you.

www.priorityhealth.com/memberservices/handbooks/member_web/information/rights

Utilization Management - Managing the effectiveness and cost of health care together is called "utilization management." Utilization management decisions are based on appropriateness of care and service. There are no financial incentives for denials.

www.priorityhealth.com/memberservices/handbooks/member_web/information/caremanagement

Privacy Statement - Learn how Priority Health is committed to keeping your health information private.

www.priorityhealth.com/privacy/notice

Grievance Procedure - Learn how our three-step grievance procedure works.

priorityhealth.com/contact/grievance

Disease Management Programs - Learn what programs are available to help you manage chronic illnesses. Learn how to use the programs and how to become eligible.

www.priorityhealth.com/memberservices/handbooks/member_web/gettingcare/healthyencounters

Plan Basics - Find information about your benefits, Priority Health procedures and how to obtain care and services. Also review your Certificate of Coverage (COC) and Member Handbook.

www.priorityhealth.com/memberservices/handbooks
www.priorityhealth.com/memberservices/ecoc/

Prescription Drug Updates - Priority Health regularly reviews new drugs. We want you to get safe and effective care. We publish a list of approved drugs called the formulary. You should look at the formulary if you take prescription drugs. You can see drug changes or updates.

www.priorityhealth.com/medicationcenter/formulary