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Materials
Shared decision-making aids are communication tools used as a way for providers and patients to make informed health care decisions based on what is important to the patient. They do not replace physician guidance but are intended to help complement the discussions between patients and physicians on treatment decisions.
Below are evidence-based aids that provide information about treatment options, lifestyle changes, and outcomes.
American Heart Association | Health Topics
Diabetes | American Heart Association
Flu Prevention | American Heart Association
Heart Facts | American Heart Association
Depression Medication Choice | Mayo Clinic
Cardiovascular Primary Prevention Choice | Mayo Clinic
Formularios
Prospective provider form (PDF)
Universal Prescription Prior Authorization Request Form (PDF)
Provider Advisory Council Form
Health Equity Provider Attestation Form (PDF)
Physical Health Prior Authorization Request Form (PDF)
Behavioral Health Prior Authorization Request Form (PDF)
Primary care physician (PCP) change request form (PDF)
Provider info change form (PDF)
Provider and subcontractor disclosure of ownership and controlling interest worksheet (PDF)
Provider claim resubmission and dispute form (PDF)
Independent review provider reconsideration request form (PDF)
Personal appeal representative form (PDF)
Notification of pregnancy form (PDF)
Informed consent for abortion form (PDF)
Sterilization consent form (PDF)
Hysterectomy receipt of info form (PDF)
Adverse incident reporting form (PDF) and instructions for the form (PDF)
Mental health rehabilitation member choice form (PDF)
Hamilton rating scale for depression (PDF)
Informed consent for treatment form (PDF)
Initial evaluation template (PDF)
Adult behavioral health assessment form (PDF)
Adolescent suicide assessment protocol (PDF)
Abnormal involuntary movement scale (AIMS) (PDF)
Patient health questionnaire (PDF)
Patient health care preferences questionnaire (PDF)
Patient safety plan template (PDF)
Progress note (SIRP format) form (PDF)
Suicide behaviors questionnaire-revised (SBQ-R) (PDF)
Suicide risk assessment form (PDF)
Helpful links
Louisiana Board of Pharmacy Prescription Monitoring Program (PMP)
Louisiana Center for Evidence to Practice
Agencia para la Investigación y la Calidad de la Atención Médica
Milliman Care Guidelines (MCG)
Case Management Society of America (CMSA)
National Committee for Quality Assurance (NCQA) health plan accreditation
U.S. Preventive Services Prevention TaskForce tools for primary care clinicians
Looking for member forms?
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