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Manuals & Forms for Providers | Ambetter from Western Sky Community Care
Provider Resources
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2023 Provider and Billing Manual (PDF)
- 2022 Provider and Billing Manual (PDF)
- 2021 Provider and Billing Manual (PDF)
- Inpatient Authorization Form (PDF)
- Member Notification of Pregnancy (PDF)
- Notification of Pregnancy Form (PDF)
- Outpatient Authorization Form (PDF)
- Well-Being Survey (PDF)
- Prior Authorization Request Form for Prescription Drugs (PDF)
- No Surprises Act Open Negotiation Form (PDF)
- Prior Authorization List (PDF)
- NIA Prior Authorization List (PDF)