Ambetter provides the tools and support you need to deliver the best quality of care.
- 2017 Provider & Billing Manual (PDF)
- Quick Reference Guide (PDF)
- Prior Authorization Guide (PDF)
- Secure Portal (PDF)
- Payspan (PDF)
- Setting Up a Cenpatico Secure Portal Account (PDF)
- Pre-Auth Needed?
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- Non-OB Ultrasound Authorization Form (PDF)
- Behavioral Health Disorders - Level of Care Request Form (PDF)
- Repetitive Transcranial Magnetic Stimulation Request Form (PDF)
- Psychological and Neuropsychological Assessment Supplemental Form (PDF)
- OTR Completion Tip Sheet (PDF)
- Discharge Consultation Form (PDF)
- Electroconvulsive Therapy Authorization Request Form (PDF)
- SMART Goals Fact Sheet (PDF)
Medical policies with criteria to determine Medical Necessity may be found in the CeltiCare Medical Policy Manuals. Here you will find medical policies that have a CeltiCare or a Centene heading.
All policies found in the CeltiCare Medical Policy Manuals apply to CeltiCare members as CeltiCare is a wholly owned subsidiary of Celtic Insurance Company and Centene Corporation.
CeltiCare Medical Policy Manuals - Coming Soon
CeltiCare Payment Policy Manuals