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Search our provider directories for facilities, physicians or providers by city, specialtiy or type. The provider directory is an easy way to see which providers are covered by Med Plus.

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 - CutSection12-MPEOC2007Website(5-2-07)(DidNotSubmit).pdf Appeals, Grievances and Exceptions for Part D
pdf (99k)



Appointment of Representative (CMS-1696)

 - MPER1-2007(App_1-30-07)(MPEnrForm).pdf Enrollment Form

This form is provided as a reference. If you are interested in joining the MedPlus plan, please call DAKOTACARE at 1-866-437-3288. TTY users should call 711 or 1-800-877-1113. We are open 8:00 AM to 8:00 PM 7 days a week.

pdf (210k)



 - EvidenceOfCoverage.pdf Evidence of Coverage
pdf (786k)



 - MPAF_1_2007(Acc3-17-07)(AbridgedFormulary).pdf Formulary (Abridged)
pdf (185k)



 - MPCF1_2007_(Acc3-17-07)(ComprehensiveFormulary).pdf Formulary (Comprehensive)
pdf (435k)



 - DKC(HLPMedPlus)_HIPAAPrivacyNotice(3-19-07)(HLP_AP,MedPlus_AP).pdf HIPAA Privacy Notice
pdf (62k)



 - MedPlus_Low_Income_Subsidy_Chart_for_Website(2).xls Low Income Subsidy Chart
xls (19k)



 - MTMP_for_2008.pdf Medical Therapy Management Program
pdf (17k)



 - MPPD1_2007(App4-6-07)(PharmacyDirectory).pdf Pharmacy Directory
pdf (225k)



 - MP_PPD1_2007(Acc3-17-07)(PhysicianProvDirectory).pdf Physician and Healthcare Provider Directory
pdf (1031k)



 - HPCLM2A(Acc2-3-07)(MedDBLMClaimForm).pdf Prescription Drug Claim Form
pdf (82k)



 - Quality-Utilization_Management_P&P_for_MTMP.pdf Quality Assurance/Utilization Management Policy & Procedure for Medical Therapy Management Program
pdf (60k)



 - MPESI_7(Acc5-7-07)(ReqMedicarePrescripDrugCovDet).pdf Request for Medicare Presecription Drug Coverage Determination
pdf (42k)



 - MPID_1_2007(App3-26-07)(MP_ID_Card)(WithInfoInEOC).pdf Sample Member ID Card
pdf (27k)



 - MPSOB1-2007(App4-4-07)(SummaryOfBenefits).pdf Summary of Benefits
pdf (80k)




This page was last updated on 10/29/2007.


 
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