Provider Manual and Forms

Note: Please go the to the Provider Training page for the APS CareConnection® User Manual and APS CareConnection® training options.

Service Grid

Provider Manual

ICD-9/DSM IV TR Crosswalk

ICD-9/DC 0-3 Crosswalk

Review Forms (in .ZIP format)

• Initial Registration Request Form
• Contact for Service Notification
• Prior Authorization Request Form
• Continued Stay Review Request Form
• Outpatient/Med Mgmt Only Cont. Stay Request Form
• Discharge Review Form

Reading .PDF and .ZIP Documents

In order to view the .PDF files, you will need Acrobat Reader.

In order to extract .ZIP files, you will need WinZip.