For Providers / Tools
2026 Tools
- 2026 Prior Authorization List (PPO)
- 2026 Prior Authorization List (HMO C-SNP)
- 2026 Provider Manual
- 2026 HealthTeam Advantage Plan Contacts
- 2026 Provider Portal User Guide
- 2026 Provider Portal Azure User Login Guide
- Prior Authorization Request Form
- Home Health Prior Authorization Form
- Durable Medical Equipment Prior Authorization Request Form
- Acute IP_SNF_LTACH_Rehab
- Additional Information Form
- Non-Emergent Ambulance Transport Request Form
- Custodial Care Benefit Prior Authorization Form (Coming soon)
- Part B Drug Prior Authorization Request Form
Medication Look Up
HEDIS Reference Guide
Medical Policies and Medicare Coverage Database
In the absence of an applicable National Coverage Determination (NCD), Local Coverage Determination (LDC), or other applicable Medicare guidelines, HealthTeam Advantage may develop and apply internal coverage criteria. To search the Medicare Coverage Database or review our internal health plan policies, please visit the links below.