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Need to Find a Form or Glance at Guidelines?

Here's your one-stop shop for L.A. Care provider manuals and commonly used forms.

Manuals and Forms

Provider Manuals

 

To help you better understand our guidelines, policies and procedures, L.A Care issues a manual to its providers each year. You can review a PDF version by selecting the appropriate manual on the Resources links.

 

Provider Forms

 

Below are the most frequently requested forms for L.A. Care Providers. If you have a suggestion for how we can improve any of the available forms, please contact Provider Support.

New - Hospital Utilization Management Contact Information
Case Management Forms
Disease Management Forms
Health Education Forms
Member Demographic Data Report
Employee Language Skills Self-Assessment Form
Interpreter Poster
Patient Interpreter Services Labels

Preferred Language Labels (Sized for Avery 5160)
Interpretation Request/Refusal Labels (Sized for Avery 5160)

Provider Portal Resources