Document, Forms, and Manuals for Providers
CarePlus is a Florida-based Health Maintenance Organization (HMO) with a Medicare contract. We are committed to serving our members, community, and affiliated healthcare providers through teamwork, quality of care, community service, and a focus on provider satisfaction.
Review the manual below for policies, procedures, training resources, and guidelines to support the administration of CarePlus benefits and services.
Training Materials
Compliance Program Requirements
Compliance Policy for Contracted Health Care Providers and Third Parties PDF opens in new window
Ethics Every Day for Contracted Health Care Providers and Third Parties PDF opens in new window
Frequently Asked Questions about Compliance Program Requirements PDF opens in new window
What are Fraud, Waste and Abuse and How to Report Them PDF opens in new window
Additional Resources for Providers
Health Services Preauthorization Form PDF opens in new window Additional Resources – Infection Control and Prevention PDF opens in new window Availity Essentials™ Information PDF opens in new window Clinical Practice Guidelines PDF opens in new window Delegated Provider Resources Medicare Basic Dental Benefit Exception Guidelines PDF opens in new window National Coverage Determinations Provider Crisis Contact/Location Information PDF opens in new window Provider Web Services Access Request Form PDF opens in new window Social Services Referral Request form PDF opens in new window Tools to Address Cultural Gaps in Care PDF opens in new window Quick Reference Preauthorization Guide PDF opens in new window
