Forms and referrals
We want to make it easy to work together so our members, and your patients, have the best experience possible. Here you can access important provider forms and learn how to refer a patient to CCA Health.
Refer a Patient
Together we can create a better experience and better outcomes for your patients with complex needs.
Administrative Forms
Provider Quick Reference Guide (MI)
Provider Portal User Guide (MI)
2023 CCA Medicare Advantage Provider Manual – Michigan
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Prior Authorization Forms
Prior Authorization List MI
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Prior Authorization Form MI
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Coverage Determination Form (OPTUM RX) MI
Coverage Determination Forms MI
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