Sharp Health Plan Guidelines

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Clinical practice guidelines for providers - Sharp Health Plan

(3 days ago) WEBClinical practice guidelines. Better health outcomes benefit all San Diegans. That’s why Sharp Health Plan is devoted to delivering the best coverage, best care and best service at the best value. We’ve adopted clinical practice guidelines based on scientific evidence, …

https://www.sharphealthplan.com/for-providers/clinical-resources/clinical-practice-guidelines

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Clinical Policy - sharpmedicareadvantage.com

(4 days ago) WEBSharp Health Plan develops Clinical Policies that serve as guidelines for medical necessity decisions utilizing evidence-based guidelines, compiled from local, …

https://www.sharpmedicareadvantage.com/docs/default-source/providers/provider-hub/policies-and-procedures/medicare/clinical-policies/shp-hs_cp_m8_2nd-opinion_ma.pdf

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Quality improvement program - goals and standards - Sharp …

(4 days ago) WEBSharp Health Plan’s advocates a collaborative approach to foster a culture of patient safety, reduce medical errors, and promote high quality care. Sharp Health Plan …

https://calpers.sharphealthplan.com/about-us/quality-improvement

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Sharp Health Plan Policy & Procedure

(Just Now) WEBA qualified autism service provider or qualified autism service professional certified by a national entity pursuant to Section 1374.73 of the Health and Safety Code and Section …

https://www.sharpmedicareadvantage.com/docs/default-source/providers/provider-hub/policies-and-procedures/medicare/clinical-policies/shp-hs_cp_t2-telehealth-policy-ma.pdf

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New physicians - Sharp HealthCare

(7 days ago) WEBGet resources to help you begin your practice Sharp HealthCare. Get resources to help you begin your practice Sharp HealthCare. Sharp opioid discharge prescribing …

https://www.sharp.com/physicians/new-physicians

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Obtaining prior authorization - Sharp Health Plan

(5 days ago) WEBSharp Health Plan uses evidence-based guidelines for authorization, modification or denial of health care services. Plan-specific guidelines are developed and reviewed on …

https://calpers.sharphealthplan.com/basic-plan/get-care/obtaining-prior-authorization

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FAQ - Frequently Asked Questions - Sharp Health Plan of San Diego

(4 days ago) WEBPlan-specific guidelines are developed and reviewed on an ongoing basis by Sharp Health Plan’s medical director, the Quality Management Committee and appropriate …

https://calpers.sharphealthplan.com/contact-us/faq?section=Generalquestions&sub=AboutSharpHealthPlan

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Sharp Health Plan Quick Reference Guide - Magellan Provider

(7 days ago) WEBSharp Health Plan Quick Reference Guide for participating providers Medicare effective date Jan. 1, 2024 Commercial (HMO/POS/PPO) and Exchange effective Feb. 1, 2024 …

https://www.magellanprovider.com/media/481407/shp_qrg.pdf

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Policies and procedures - Sharp HealthCare

(1 days ago) WEBSharp Grossmont Hospital: 619-740-4060. Sharp Mary Birch Hospital for Women & Newborns: 858-939-3388. Sharp Memorial Hospital: 858-939-3388. Sharp Mesa Vista …

https://www.sharp.com/policies-procedures

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Understanding how Medicare works Sharp HealthCare

(8 days ago) WEBHear from a Medicare specialist in clear, easy-to-understand language Attend a free Medicare class. If you're turning 65 within the next year, or are over 65 and retiring soon, …

https://www.sharp.com/campaign/medicare/medicare-insurance

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Medicare coverage criteria guidelines - Sharp Health Plan

(6 days ago) WEBProviders contracted with Sharp Health Plan are expected to exercise professional medical judgment in providing the most appropriate care and are solely responsible for the …

https://www.sharpmedicareadvantage.com/medicare-coverage-criteria-guidelines

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Member handbooks - Sharp Health Plan

(7 days ago) WEBView and/or download your specific member handbook, other coverage documents and more in your online account. The Sharp Health Plan member handbook, or Evidence of …

https://www.sharphealthplan.com/members/your-coverage-documents/member-handbooks/member-handbooks

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QUICK REFERENCE GUIDE - Horizon NJ Health

(7 days ago) WEBBehavioral Health Services. [email protected] Facility When a resident that is auto-assigned or self-selected the MCO and needs a NJ Choi. Assessment …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Which individual health insurance plan is best for you?

(1 days ago) WEBsort the plans by premium, by company or by metal level. Now that you know where, let’s consider to shop. NETWORKS In 2019, all individual plans are either Exclusive Provider …

https://nj.gov/dobi/division_insurance/ihcseh/whichindividualplanbest/whichplanbest2019.pdf

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Clinical policy - Sharp Health Plan

(3 days ago) WEBClinical practice guidelines. Better health outcomes benefit all San Diegans. That’s why Sharp Health Plan is devoted to delivering the best coverage, best care and best …

https://www.sharphealthplan.com/for-providers/clinical-resources/clinical-practice-guidelines/preventive-health-services-medical-benefit-policy

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Prior authorization guidelines for healthcare providers - Sharp …

(5 days ago) WEBOur medical prior authorization guidelines are specific to members who are under HMO plans and assigned to an independent network provider. Find out what supporting …

https://www.sharphealthplan.com/for-providers/prior-authorization

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Provider operations manuals - Sharp Health Plan

(2 days ago) WEBJanuary 2024Medicare. View our Provider Operations Manual for Sharp Direct Advantage (Medicare) members to learn about coverage, services and offerings that are unique to …

https://www.sharphealthplan.com/for-providers/provider-operations-manual

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Addiction medicine specialists near North Bergen, NJ - US News …

(8 days ago) WEBFind great Addiction Medicine Specialists near North Bergen, NJ and learn about conditions they treat and their qualifications. Locate qualified Addiction Medicine Physicians in your …

https://health.usnews.com/doctors/addiction-medicine-specialists/new-jersey/north-bergen

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Sharp Health Plan

(9 days ago) WEBSharp Health Plan was the only plan to be included in the 2024 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage in …

https://www.sharpmedicareadvantage.com/

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Sharp Health Plan Mental MedUSafe for Health Care …

(1 days ago) WEBSharp Health Plan’s maternal mental health program guidelines and criteria are available to providers upon request. 2 Autism It is the policy of Sharp Health Plan to …

https://www.sharphealthplan.com/docs/default-source/providers/clinical-resources/2021_sharphp_mental-health-information-providers.pdf?sfvrsn=8fa4f480_4

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