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Physician Resources...

GTCIPA Diabetic Care

Greater Tri Cities IPA offers FREE education classes for those who are diabetic or at risk for diabetes. For more information or to sign up for a class, click here.

Youtube Channel

Visit our YouTube channel for helpful video clips. Be sure to subscribe to be the first to see new videos when they are available.

 

Welcome to the one-stop resource page for our physicians and office staff. Please visit this page to stay connected with up-to-date patient management tools, newsletters, trainings, and announcements from Greater Tri Cities IPA.  

Best Practices Guidelines

Claims

Compliance Training

Health Plan Standards of Conduct

SNP MOC Training for Care1st

Provider Relations & Patient Management

  • Affirmative StatementQuality utilization statement reflecting the basis for all utilization decisions as required by the National Committee for Quality Assurance (NCQA.)
  • Advance Health Care Directive – English/Spanish: Creating an Advanced Health Care Directive allows the physician, family, and friends know the health care preferences of the patient in case of incapacitation.
  • Advanced Health Care Directive PCP ToolThis tool is intended to document your discussion with a patient regarding his or her advance directive. 
  • Consumer Notice PostingEffective June 27, 2010, regulation by the Business and Professions Code section 138, requires physicians in California to inform their patients that they are licensed by the Medical Board of California and to include the Board contact information. This link offers sample signage to comply with this mandate. 
  • CDC Immunization Schedules –AdultCenter for Disease Control and Prevention adult immunization recommendations and details for healthcare professionals. 
  • CDC Immunization Schedule –Children (0-18 Years): Center for Disease Control and Prevention child immunization recommendations and details for healthcare professionals. 
  • PPACAImportant health care reform notice regarding preventive checkups, screenings and vaccines with no out-of -pocket costs. 
  • Preventive Health Guideline 2017: Coverage determination guideline from United Healthcare provides assistance in interpreting certain standard benefit plans.  
  • Diabetes Education Class ReferralReferral forms for the Greater Tri Cities IPA monthly diabetes education program. 
  • Required Prescription Drug Pre-Authorization formPrintable PDF tool for authorization requests for prescription drugs.