Provider forms and references

Quick reference guides

• UnitedHealthcare Community Plan of New Jersey quick reference guide
• Behavioral Health quick reference guide
• Dental quick reference guide
• Home and Community Based Services (HCBS) quick reference guide
• Housing Services, Supports and Assistance quick reference guide
• MLTSS nutritional supports quick reference guide

Reference guides

• Doula: Submitting claims and member eligibility
• Enhancing elderly care: Fall risk screening in primary care
• Family Guide to Autism Services - Chinese
  
• Family Guide to Autism Services - English
• Family Guide to Autism Services - Hindu
• Family Guide to Autism Services - Portuguese
• Family Guide to Autism Services - Spanish
• Family Guide to Autism Services - Tadjik
• Lead screening quick reference guide
• Leading the Way on Lead
• National drug codes requirement for claims submissions
• UnitedHealthcare Community Plan of New Jersey appointment availability and after-hours standards
  
• Verifying benefits and billing guidelines for New Jersey network health care providers

Provider forms

• Critical incident reporting form
• DOBI Claims Appeal form
  
• Entity Disclosure of Ownership and Control Interest form (online version)
• Health care professional — special needs survey form
• Hysterectomy and Sterilization Procedures and Consent dorm
• Individual Disclosure of Ownership and Control Interest form (online version)
• Long-term care prior authorization request form
• Medication-assisted treatment and office-based addictions treatment questionnaire and attestation form
• Prior authorization forms
• Provider data verification for New Jersey
• Provider Disclosure of Ownership and Control Interest Statement form FAQ
• Specialist referral form
• Verbal risk assessment for lead toxicity