Important Member Documents
As a valued member of Provider Partners Health Plans in Missouri, you can access your important documents at any time by clicking on the links below.
Member Materials
- 2026 Annual Notice of Change
- 2026 Advantage Plan Summary of Benefits
- 2026 Evidence of Coverage
- 2026 Star Ratings
- 2026 LIS Summary
- Appointment of Representative Form CMS-1696
- Member Reimbursement Form Part C
- Member Reimbursement Form Part D
- Participating Providers
- Participating Pharmacies
- Appeals, Organizational Determinations, Coverage Determinations, Grievances
- Over The Counter (OTC) Catalog

PHARMACY RESOURCES
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Page Last Updated: 10/01/2025