In addition to our digital Provider Manual, we also have a separate Medicaid Provider Manual in PDF form. You can access it online here.
Need a hard copy?
We can send you a hard copy of the Medicaid Provider Manual on request. To obtain a copy, contact our Provider Helpline at 800.942.4765.
What is the Medicaid Provider Manual?
The Medicaid Provider Manual is a PDF manual for providers working with Priority Health Medicaid members with information on:
- Online resources and contacting Priority Health
- Medicaid program and benefits
- Checking patient eligibility
- Covered services
- Clinical practice guidelines
- Provider enrollment and participation
- Provider responsibilities
- Medicaid billing
- Authorizations
- Reviews and appeals
- Practitioner office documentation
- Compliance policies
- Confidentiality standards
Our digital Provider Manual contains all the information above for Medicaid and other product types.
The Medicaid Provider Manual is updated annually, whereas the digital Provider Manual is updated throughout the year as changes occur.
Need the State’s Medicaid Provider Manual?
The Medicaid Provider Manual from the Michigan Department of Health and Human Services (MDHHS) can be found here.