Provider Manuals and Forms
Manuals and guides
AmeriHealth Caritas New Hampshire offers these reference materials to our providers.
- Provider manual (published October 2019) (PDF)
- Provider manual (published September 2020) (PDF) and revision table (PDF)
This manual will help you and your office staff provide services to our members.
- Claims filing instructions (PDF).
This manual will help you avoid delays in the processing of your claims.
- Provider reference guide (PDF).
Keep this sheet of contact information close by for when you need to give us a call.
If you have any questions about these materials or about AmeriHealth Caritas New Hampshire, call Provider Services at 1-888-599-1479, or contact your Account Executive.
Behavioral health prior authorization
Let Us Know (Rapid Response and Outreach Team - RROT)
Notification and consent
- Crisis Intervention Notification Form (PDF)
- Substance Use Disorder Notification Form (PDF)
- Consent for Sterilization Form (PDF)
- Consent for Sterilization Form instructions (PDF)