State Specific Policy Requirements
New Jersey State Specific Policy Requirements
CURRENT NEW JERSEY UTILIZATION MANAGEMNT POLICIES
- Clinical Services Program - New Jersey
- Medical Necessity Review - New Jersey
- Member Appeals and Grievances - New Jersey
- Provider and Practitioner Appeals and Grievances - New Jersey
- Urgent Emergent Services - New Jersey
CURRENT AMERICAN SPECIALTY HEALTH CLAIMS POLICY
CURRENT AMERICAN SPECIALTY HEALTH CLINICAL CRITERIA AND GUIDELINES USED TO DETERMINE MEDICAL NECESSITY OF HEALTH CARE SERVICES
Provider community feedback is important to ASH. To submit feedback regarding ASH policy, please click the following link . ASH will carefully review all of the comments received for continued improvement of our policy development process.
Arkansas State Specific Policy Requirements
In accordance with Arkansas state requirements, American Specialty Health must post its prior authorization and nonmedical review requirements, any restrictions and any written criteria.
- Clinical Services Program – Arkansas
- Medical Necessity Review – Arkansas
- Member Appeals and Grievances – Arkansas
- Provider and Practitioner Appeals and Grievances - Arkansas
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Urgent/Emergent Services – Arkansas
- Clinical Services Program – Non-Credentialed Practitioners
- Medical Necessity Review – Non-Credentialed Practitioners
- Medical Necessity Definition
Provider community feedback is important to ASH. To submit feedback regarding ASH policy, please click the following link . ASH will carefully review all of the comments received for continued improvement of our policy development process.