To assist you in delivering quality care to our members, we provide you with the HMO and PPO Provider Reference Manuals. These manuals include important information based on Community Health Plan processes, policies and procedures. Please refer to these manuals when you need information about the following:

HMO Provider Reference Manual
Section I — Introduction
Section II — Provider’s Responsibilities and Compensation
Section III — Membership and Eligibility
Section IV — Benefit Guidelines
Section V — Care Management
Section VI — Quality Improvement
Section VII — Best Practice and Standards of Care
Section VIII — Credentialing
Section IX — Emergency and Urgent Care
Section X — Claims Payment Procedures
Section XI — MyCHP Service Provider Guide 
Section XII — Prior Authorization Forms

PPO and Individual Provider Reference Manual
Section I — Introduction
Section II — Provider’s Responsibilities and Compensation
Section III — Membership and Eligibility
Section IV — Benefit Guidelines
Section V — Care Management
Section VI — Quality Improvement
Section VII — Best Practice and Standards of Care
Section VIII — Credentialing
Section IX — Emergency and Urgent Care
Section X — Claims Payment Procedures
Section XI — MyCHP Service Provider Guide
Section XII — Prior Authorization Forms