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Provider Resources

Get the tools you need to easily manage your administrative needs, and your keep your focus on the health of your patients. Use the tools and resources below to find the information you need, check member eligibility, submit claims through our secure provider portal, check if pre-authorization is necessary, see the status of a claim and more







Training and Education Courses are offered through our comprehensive clinical training program. It is designed to enhance the knowledge, skills and performance of healthcare professionals who empower our members to make positive health behavior changes.

We offer many courses to support continuing education for providers, enhance integrated care, and expand use of best practices. Participants can receive continuing education for some classes, and receive certificates of attendance related to certain licensing requirements.

Course participants come from all aspects of healthcare. They include behavioral healthcare providers, primary care physicians, long-term service and support providers, specialty therapy and rehabilitative service providers, and providers/stakeholders involved in the child welfare system. Their reasons for attending our workshops are as varied as the topics, and range from the practical — such as “authorizations” — to the profound — such as “culture of poverty” or “childhood traumatic grief.”

Multiple training topics explore ways for physical and behavioral health providers to coordinate services, such as integrated care, cultural competency, common psychotropic medications, positive psychology, strengths-based treatment model and motivational interviewing. In addition, we offer a workshop to explain the use of psychotropic medications in treating mental health and substance use disorders.

Our trainers have extensive knowledge in a variety of health topics, including behavioral health, speech, respiratory, occupational and physical therapy, nursing, exercise physiology, nutrition, diabetes, smoking cessation, case and utilization management, care coordination, data systems, organizational development, long-term services and supports, and child welfare. We are here to help you with information regarding our education and training workshops, all designed to support the treatment you provide our members and improve member outcomes.

Home State providers must keep accurate and complete medical records. Such records will enable providers to render the highest quality healthcare service to members. They will also enable Home State to review the quality and appropriateness of the services rendered. Home State will conduct random medical record audits as part of its QI program to monitor compliance with the medical record documentation standards linked below.

The coordination of care and services provided to members, including over/under utilization of specialists, as well as the outcome of such services also may be assessed during a medical record audit. Home State will provide written notice prior to conducting a medical record review.