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
- 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 – CGM Supplies
- Authorization Request – Dental
- Authorization Request - Insulin Pump and Supplies
- Authorization Request- Medical
- Authorization Request – DME
- Approved Drug Formulary
- Case Management Referral Form
- CHA Complaint Form
- CHA Sample ID Card
- DHS/OHA Administrative Hearing Request
- Elective Surgeries and Smoking Abstinence Guidance
- Flex Fund Request Form (Fillable PDF)
- Hepatitis-C Treatment Request Form
- Hepatitis-C Treatment Request Form (Pediatric)
- Keele Start Screening Tool
- How To Request an Interpreter
- Notice of Hearing Rights
- Medication Assisted Treatment (MAT) Information
- Medication Prior Authorization Request Form
- OHP Client Agreement to Pay
- 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