Mental health providers: There’s a change regarding prior authorizations. Starting 9/1/18, prior authorization is required for outpatient mental health services you provide after one year of treatment. You must fax required paperwork at least 14 days BEFORE the one-year mark. Look for a letter from us.
This does not affect Jackson Care Connect members whose treatment ends within a year.

Policies and Forms

This page includes medical policies, forms and medical management guidelines for physical health. The documents are provided by CareOregon, a partner in Jackson Care Connect.

Behavioral Health Guidelines and Forms

Policies – General

Policies – Pharmacy

Forms – Pharmacy

Policy Updates & Other Forms - Pharmacy


Use the Provider Portal to verify a member’s eligibility with Jackson Care Connect.

Authorization Guidelines

Changes are posted on the 15th day of the calendar month (or the next business day).

Diagnostic and Treatment Procedures - CPT Code Grid

DME - Authorization & Code Lists

Frequently Asked Questions (FAQ's)

Authorization Request Forms
Miscellaneous Policies and Forms

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