Search Results

Access to Care — CC05
Policies & Procedures — Quality
Last Updated: 1/22/2010

Access to Women’s Health Care Services — CC04
Policies & Procedures — Care Coordination
Last Updated: 1/22/2010

Advance Directives — CC26
Policies & Procedures — Care Coordination
Last Updated: 1/22/2010

Appeals, Grievances, and State Fair Hearing System — QMAG01
Policies & Procedures — Quality
Last Updated: 1/22/2010

Credentialing Plan — PW_032013_249
Policies & Procedures — Credentialing
This document gives providers the requirements to become and remain a PrimeWest Health network provider.
Last Updated: 4/16/2013

Credentialing: Practitioner Rights — CR 16
Policies & Procedures — Credentialing
This document provides our practitioners with their rights to review their credentialing documents.
Last Updated: 3/28/2013

Days of Nursing Facility Liability — SNP15
Policies & Procedures — Care Coordination
Last Updated: 1/22/2010

Health Records Policy — QM06
Policies & Procedures — Health Record Reviews/Site Visits
This Policy & Procedure documents how PrimeWest Health maintains standards and guidelines for documenting and managing members' health and mental health records.
Last Updated: 3/29/2013

MH-TCM Referral and Eligibility Determination Process — PW_2009_290
Policies & Procedures — Behavioral Health
This document provides instructions and outlines the requirements for the eligibility determination for PWH members requesting Mental Health Targeted Case Management. These instruction provide the necessary information required to receive a service authorization for Mental Helath Targeted Case Management.
Last Updated: 8/9/2010

Pharmacy Determinations — UM02
Policies & Procedures — Utilization Management
This Policy & Procedure details PrimeWest Health pharmacy determinations.
Last Updated: 2/12/2013

Provider Office Site Visits — QM05
Policies & Procedures — Health Record Reviews/Site Visits
This Policy & Procedure documents office site standards and guidelines for primary care, specialty care, and mental health clinics and how PrimeWest Health maintains these standards and guidelines for provider office sites.
Last Updated: 3/29/2013

Quality Assurance Plan — QM03
Policies & Procedures — Quality
This Policy & Procedure presents the written Quality Assurance Plan and describes the PrimeWest Health Quality Program.
Last Updated: 4/11/2013

Technologies, New & Existing — UM11
Policies & Procedures — Utilization Management
Last Updated: 1/22/2010

UM Plan QM03 (C) — QM03C
Policies & Procedures — Utilization Management
Last Updated: 1/22/2010

Utilization Management Plan — UM01
Policies & Procedures — Utilization Management
This Policy & Procedure outlines the comprehensive, systematic approach to the delivery of effective and appropriate care and services to members.
Last Updated: 5/31/2011