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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

Prior Authorization Forms

2024 Prior Authorization List – MI

Prior Authorization Form MI

Coverage Determination Form (OPTUM RX) MI

Coverage Determination Form MI

Other Important Forms

Chronic Condition Provider Attestation Form

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