Please click on the links below for our Providers Quick Reference Guide or the Provider Manual :
Provider Quick Reference Page 1
Provider Quick Reference Page 2
Provider Manual - You must contact our Provider Relations Department to obtain a password to view the Provider Manual, the Clinical Guidelines,the Claims Appeals Guidelines and the HEDIS Criteria Letter.
The Jai Medical Systems Managed Care Organization Formulary is available here. The formulary is reviewed and updated throughout the year. The most up-to-date formulary coverage information can be found online through Epocrates. Registration is free and is available at www.epocrates.com
The DHMH Provider website is available to check patient eligibility at: https://encrypt.emdhealthchoice.org/emedicaid/_Portal/provWelcome.jsp