Hassle-free Administration.

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Enhanced Personal Health Care Program Welcome Packet

Welcome to Enhanced Personal Health Care. This page houses tools and resources that will be important to your practice getting started with the program. We hope they will help you on your practice transformation journey, whether you’re just starting, or taking your practice to the next level of patient-centered care. Please take time to review both the On-Boarding Checklist and Tools and Resources Quick Reference Guide for a helpful index of resources made available to you through the Enhanced Personal Health Care program.  
Tools and Resources Quick Reference
Provider Care Management Solutions
Guide for Care Coordinator
Availity Access to Provider Care Management Solutions
Practice Transformation Learning Opportunities
Care Management Programs At-A-Glance and User Guide for PCMS Referrals
Provider FAQ
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