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Getting started
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Getting started
When you join our network, we’ll provide an initial orientation. After that, you’ll have ongoing training and education, including webinars, periodic provider newsletters and bulletins and so much more.
Questions about joining our network? Just visit the join our network page for more information.
You can also check the provider manual for answers to many of your questions. Or you can contact us.
New provider training and resources
Availity® training
The Provider Portal is an online tool that lets us communicate health care information directly to providers. In 2021, we transitioned from the Medicaid Web Portal (MWP) to Availity as our Provider Portal.
You need to register for the Availity Provider Portal before you can start using its many features. To learn more about how to register for the Availity Provider Portal, just visit the Provider Portal page.
Other training, materials and resources
Medicare Compliance Program Guidelines First Tier Attestation (PDF)
FDR Medicare compliance guide (PDF)
Frequently Asked Questions (FAQs) for FDRs (PDF)
Combating Medicare Parts C and D Fraud, Waste, and Abuse Web-Based Training Course (PDF)
Medicare Parts C and D General Compliance Training Web-Based Training Course (PDF)
Office of Inspector General (OIG) Exclusions Database
Everyone should have a fair and just opportunity to be as healthy as they can be. Learn more about health equity and the obstacles and solutions to this goal on our health equity page.
Need more information on how to talk about mental health conditions with your patients? You can check out some of these trainings and other resources:
PHQ-9 modified for adolescents (PHQ-A) (patients ages 11 to 17) form (PDF)
Medmastery: Depression and Anxiety Essentials: This course can help you learn tools to screen patients for levels of suicide risk, navigate treatment plans for depression and anxiety, and more.
How to administer the score and understand the PHQ-9 and PHQ-2: This 2-hour self-paced course includes instructions on assessing and responding to levels of suicide risk if suicidal ideation is shown on the PHQ-9
Questions about these trainings? You can email our behavioral health clinical liaison, Regina Bell.
Trauma-informed care responds to the impact of trauma through recognition and understanding. We take our members’ safety and ability to make their own choices seriously. Want to learn more? Just watch this video about trauma-informed care. Or visit the Center of Excellence for Integrated Health Solutions (CoE) website.
You can find more information about training on the HEDIS page.
International Accreditors for Continuing Education and Training (IACET)
Accreditation Council for Continuing Medical Education (ACCME)
Case Management Society of America (CMSA)
Substance Abuse and Mental Health Services Administration (SAMHSA)
Agency for Healthcare Research and Quality (AHRQ)
Think Cultural Health
Communication between health care professionals can lead to better outcomes for patients. Not sure where to start? You can check out these FAQs about how to discuss sensitive topics.
When and how can you share info about patients you’re treating for mental health conditions?
What are some ways to address social determinants of health challenges?
Where can you learn more about the HIPAA privacy rule?
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).