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  1. Child Health Plan Plus (CHP+) Complaints and Appeals

    Child Health Plan Plus (CHP+) Complaints and Appeals What is a complaint? Complaint and Appeal Form

  2. Provider Forms and Materials

    … Prior Authorization Criteria for Medicaid and CHP+ Plans Prior Authorization Criteria for … Form Member Complaint and Appeal Form CHP+ Complaints and Appeals …

  3. CHP+ Forms | Documents | Links

    CHP+ Forms | Documents | Links … Appointment of Personal Representative Complaint and Appeal Form Coordination of Benefits …

  4. Provider Pharmacy Information

    … Formulary & Pharmacy Management Medicaid and CHP+ Formulary/Drug List Exchange/CO Option … members have the right to ask us for a redetermination (appeal) of our decision. The member's prescriber may ask us … their prescriber, may also ask us for an appeal using the Complaint and Appeal Form . Expedited appeal requests can …