Provider Resources

Provider Information

• 2026 Provider Manual – coming soon
• Participating Providers
• Participating Pharmacies
• Model of Care Training and Attestation
• Provider Information Update
• 2026 Provider Coverage Determination Form
• ACH Authorization and Agreement
  • Providers who would like to receive claim payments by direct deposit (ACH) instead of virtual card or paper check should complete and return the ACH Authorization and Agreement form at the link above. Enrolling in ACH allows payments to be deposited directly into your bank account through VPay (a Zelis company), providing faster, more secure, and reliable payment delivery.

Medical Information and Authorization

• 2026 Authorization Form
• 2026 Authorization Form (Spanish)

quick reference guides

• 2026 Provider Quick Reference Guide – Advantage Plan
• 2026 Provider Quick Reference Guide – Community Plan
• 2026 Provider Quick Reference Guide  – Essential Plan

Pharmacy Resources

• Pharmacy Resources

Member Benefit Information

• 2026 Advantage Plan Summary of Benefits
• 2026 Advantage Plan Summary of Benefits (Spanish)
• 2026 Kentucky Advantage Plan Summary of Benefits
• 2026 Community Plan Summary of Benefits
• 2026 Essential Plan Summary of Benefits