Top tools for your practice

Welcome to the provider resource center. We’ve made it easy for you to do business with AllWays Health Partners by organizing popular forms and resources on one page.

Commercial provider manual
Section 1 — Member Information
Section 2 — Covered Services
Section 3 — Provider Management
Section 4 — Provider Portal
Section 5 — Quality Management Program
Section 6 — Clinical Programs
Section 7 — Utilization Management
Section 8 — Billing Guidelines
Section 9 — Pharmacy
Section 10 — Appeals and Grievances
Appendix A — Contact Information
Appendix B — Glossary
My Care Family provider manual
Section 1 — Member Information
Section 2 — Covered Services
Section 3 — Provider Management
Section 4 — Provider Portal
Section 5 — Quality Management Program
Section 6 — Clinical Programs and Utilization Management
Section 7 — Billing Guidelines
Section 8 — Pharmacy
Section 9 — Appeals and Grievances
Prior Authorization Forms
Cardiac Imaging Prior Authorization Form
CT/CTA/MRI/MRA Prior Authorization Form
PET — PET CT Prior Authorization Form
Prior Authorization Request Form
Psychological and Neuropsychological Assessment Supplemental Form
Pharmacy forms
Prior authorization form — Specialty and Non-Specialty (PDF)
Hepatitis C Medications Prior Authorization Form (PDF)
Synagis Prior Authorization Form (PDF)
Other provider forms
Designation of Authorized Representative Form (Appeals and Grievances)
Electronic Remittance Advice Enrollment Form
MassHealth Notification of Birth Form (NOB-1)
Personal Representative Designation Form
Provider Audit Appeal Form
Request for Claim Review Form
Unlisted/NOC/NOS/NES Special Report Form
Practice guidelines
To help you deliver the very best patient care, here are some resources where you can find practice guidelines for chronic or complex conditions.

ADHD Guidelines in Primary Care for Children and Adolescents
Attention Deficit Hyperactivity Disorder in Primary Care for Children and Adolescents

Depression
Depression guidelines from the Institute for Clinical Systems Improvement

Diabetes guidelines
American Diabetes Association Guidelines

HIV-AIDS guidelines
HIV/AIDS Treatment Information Service Guidelines

Perinatal Care Guidelines (Massachusetts Health Quality Partners)
Immunization schedule

Preventive care guidelines
Preventive Care Guidelines for Adults (Massachusetts Health Quality Partners)
Preventive Care Guidelines for Children (Massachusetts Health Quality Partners)

Other sources of guidelines
National Guideline Clearinghouse
Centers for Disease Control
National Institutes of Health
National Library of Medicine
Agency for Healthcare Research and Quality
Drug alerts
Visit the drug alert page to find a complete list of medication recalls and safety information.
Information for Aetna Signature, PHCS, non-contracted, and Optum providers
Submit claims for AllWays Health Partners members

A uthorization request form for Aetna Signature, non-contracted, and PHCS providers

Authorizations request form for Optum providers

Log in to access all the online provider tools

Smiling doctor in white coat and glasses

On allwaysprovider.org you can check eligibility, add or remove providers from your practice, and more.

Not a network provider? We’d love to have you join us. Learn about the AllWays Health Partners provider network.

Top tools for your practice

Submit claims for AllWays Health Partners members

Log in to access all the online provider tools

You're about to leave allwayshealthpartners.org