Several projects were completed in this focus area, aimed at educating
providers as to when referrals and prospective reviews are necessary,
and relaxing some rules around the referral/prospective review process.
» Frequently Asked Questions about Referrals and Prospective Review
Frequently
Asked Questions
(.pdf | 31k | Version 10.08.07)
» Using Standard Referral Actions & CHITA Form
Guideline for Standard Referral Actions
(.pdf | 45k | Version 10.08.07)
CHITA Standard Referral Form
(.pdf | 62k | 04/03)
» Guideline for Women’s Healthcare
Guideline for Women's Healthcare
(.pdf | 33K | Version 10.08.07)
» Numeric Billing Codes on Referrals and Authorizations
Coding Policy
(.pdf | 12K | Rev 6.0 | 4.18.04)
» Tolerance Period for Referral Effective Dates
Tolerance Period Policy
(.pdf | 13K | Rev 6.0 | 4.19.04)
» Reduce Administrative Burden
on PCP & Emergency Room
Hospital
ER Referral Policy
(.pdf | 11K | Rev 6.0 | 4.19.04)
» Guidelines for Requesting a Prospective Clinical-Medical Review
Requesting Prospective Review Guideline
(.pdf | 23k | Version 10.08.07)
Standard Form
(.pdf | 29k | Version 10.08.07)
