Forms Appointment of Representative Form Care Management Referral Form Complaint and Appeal Form Coordination of Benefits Form Enrollment Form MedImpact Claim Form Member Reimbursement Form (Medicare) Prescription Drug Coverage Determination Request Form Request for Redetermination of Medicare Prescription Drug Denial Form Transition of Care/Continuation of Care Request Form UM Prior Authorization Request Form Documents Advance Directive / Living Will / CPR Directive Glossary of Health Coverage and Medical Terms LIS Summary Table Medicare Prescription Transition Process Medicare Durable Medical Equipment (DME) Providers Medicare Star Ratings Provider Directory Tips Links Accessing Your Health Information Using Third Party Apps Affirmative Statement About Incentives Best Available Evidence Denver Parks and Recreation Membership Disaster/Emergency Policy for Medicare Members Request Copy of Provider or Pharmacy Directory Lifeline Program LIS Premium Subsidy Medicare Appeals and Complaints (Grievances) Medicare Disenrollment Medicare Enrollment Instructions Member ID Card Member Newsletter Member Rights & Responsibilities MyDHMP Member Portal Services Requiring Prior Authorization Transportation to Medical Visits Wellness Blog Your Dental Benefits Your Hearing Benefits Your Vision Benefits