Provider Resource Center

Cascade Health Alliance has established policies and procedures that govern the effectiveness of our programs. These policies establish points of contact and accountability for our processes and procedures.

As a general guide, please reference our Provider Manual.

Find the policies and procedures and forms under the links mentioned below:

Policies and Procedures

• Cultural Competency
• Credentialing
• Clinical Practice Policy and Procedure
  • Clinical Practice Guidelines
• Delegated Credentialing
• Fair Hearing
• Grievance System
• Health Promotion Prevention
• Nondiscrimination
• Pre-Contract/Pre-Service
• Second Opinion

Forms and Resources

• Appeal Service Denial and Hearing Request
• Authorization Grid – Behavioral
• Authorization Grid – Dental
• Authorization Grid – Medical
• Authorization Request – Behavioral
• Authorization Request – Dental
• Authorization Request- Medical
• Authorization Request – DME
• Authorization Request – Incontinence
• Approved Drug Formulary
  • Choice 90 Formulary Addition
  • Effective October 1, 2020: Formulary Change Notification
  • Effective December 1, 2020: Formulary Change Notification
  • Pharmacy Prior Authorization Guidelines
• Case Management Referral Form
• CHA Complaint Form
  • OHP Complaint Form Español
• CHA Sample ID Card
• DHS/OHA Administrative Hearing Request
• Elective Surgeries and Smoking Abstinence Guidance
• Flex Fund Request Form
• Hepatitis-C Treatment Request Form
• Keele Start Screening Tool
• Notice of Hearing Rights
• Medication Assisted Treatment (MAT) Information
• Medication Prior Authorization Request Form
• OHP Client Agreement to Pay
• OMH Referral Form
• Opioid Tapering Plan
• Oswestry Disability Questionnaire
• Prescription Drug Monitoring Program
• Provider Change Form
• Rapid Referral for Behavioral Health Form
• Rapid Referral for Substance Use Disorder (SUD) Services
• Specialty Pharmacy Referral Form

Training

• Authorization Training Manual
• Authorization Quick Start Training Video