Add supporting documents to an existing authorization
A step-by-step guide for providers on adding additional supporting documents to a request in “pend” or “approve/hold” status.
Forms & publications
Notice: If you are looking for Apple Health (Medicaid) client forms and publications, please visit our Free or low-cost forms library.
Adding new users and assigning profiles
A resource for social service providers on adding new users to their domain and assigning profiles.
ADHD age and dose
ADHD therapy duplication
ADHD/Anti-Narcolepsy: Non-Stimulants – Viloxazine
Adjust, void, and resubmit social service claims
Instructions for social service providers on how to adjust, void, or resubmit a social service claim through ProviderOne.
Adjust, void, and resubmit social service medical claims
A resource for social service medical providers on adjusting, voiding, or resubmitting a social service medical claim through ProviderOne.
Administrative services organization contract
Behavioral health-administrative services organization contract 2025
Affidavit of Lost, Stolen, or Destroyed Warrant (09-014)
Providers: Submit this form to request a replacement warrant (i.e., check).
Agreement of Acceptance (partial denture)
Complete this form when provisioning all partial dentures.