KAISER PERMANENTE Manuals & User Guides

KAISER PERMANENTE 2024 Health Plan of the Mid-Atlantic States Owner’s Manual

December 25, 2024

KAISER PERMANENTE 2024 Health Plan of the Mid-Atlantic States Product Information This user manual provides detailed information about the Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. for individuals and families in the District of Columbia. It includes coverage…

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KAISER PERMANENTE FEHB Guide to Medicare User Guide

December 20, 2024

KAISER PERMANENTE FEHB Guide to Medicare Specifications Product Name: Kaiser Permanente Medicare Health Plan Plan Type: Senior Advantage (HMO) Part B Premium Reimbursement: Up to $250 a month Coverage: Hospital insurance, Medical insurance, Prescription drug coverage, Dental and eyewear coverage…

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KAISER PERMANENTE VA-SG-HDHP Plan of the Mid Atlantic States Instructions

December 18, 2024

KAISER PERMANENTE VA-SG-HDHP Plan of the Mid Atlantic States Specifications Plan: SAM SELECT CARE DELIVERY SYSTEM Insurance Provider: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. Location: 4000 Garden City Drive Hyattsville, Maryland 20785 Type: HDHP (High Deductible Health…

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KAISER PERMANENTE Y0043 Medicare Health Plan User Guide

December 17, 2024

Y0043 Medicare Health Plan Product Information Specifications Product Name: Kaiser Permanente Medicare Health Plan Model Number: Y0043_N00039344_GA_M Provider: Kaiser Permanente Description The Kaiser Permanente Medicare health plan offers high-quality care and coverage designed to make life easier for individuals seeking…

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KAISER PERMANENTE Utilization Management and Resource Management Program Owner’s Manual

December 13, 2024

KAISER PERMANENTE Utilization Management and Resource Management Program Specifications: Utilization Management and Resource Management Program Compliance with California's Health and Safety Code (H&SC)/Knox-Keene Health Care Service Plan Act Adherence to managed care plan NCQA accreditation, CMS, DMHC, and DHCS standards…

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KAISER PERMANENTE Self Funded Billing and Payment User Guide

November 10, 2024

KAISER PERMANENTE Self Funded Billing and Payment Product Information Specifications Product Name: Self-Funded Program Version: 2024 Section: 5 - Billing and Payment Product Usage Instructions Whom to Contact with Questions If you have any questions regarding claims submission, contact Self-Funded…

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KAISER PERMANENTE Health Choice Practitioner Ancillary Application for Participation Instructions

September 24, 2024

KAISER PERMANENTE Health Choice Practitioner Ancillary Application for Participation Product Information Specifications Product Name: Provider Application for Participation Target Audience: Providers located in MD, VA, and DC Usage: Application for consideration into Kaiser Permanente's network Product Usage Instructions Ensure you…

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KAISER PERMANENTE Depression Assessment and Support Program User Guide

September 16, 2024

KAISER PERMANENTE Depression Assessment and Support Program Specifications Product Name: Depression Assessment Manufacturer: Kaiser Permanente Available Resources: Self-care resources, Self-Compassion tools, Mindfulness practices, Sleep tips and tools Contact for Appointment: 808-432-7600 (Oahu) or 1-888-945-7600 (neighbor islands) FAQs Q: How can…

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KAISER PERMANENTE PPO Network Provider Instructions

September 15, 2024

KAISER PERMANENTE PPO Network Provider Instructions     1.0 The Kaiser Permanente Medical Care Program 1.1 Introduction Welcome to the Kaiser Permanente Network. As a valued Participating Provider, you provide services to members of the Kaiser Permanente Health Plan of…

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KAISER PERMANENTE UR 56 Dental Anesthesia Policy and Medical Necessity Criteria Commercial User Guide

September 14, 2024

KAISER PERMANENTE UR 56 Dental Anesthesia Policy and Medical Necessity Criteria Commercial User Guide       Department: Northwest Permanente Applies to: KPNW Region/NW UM Physician Review Responsibility: PDA Dental Services Hospital Operating Room Committee; UROC Subject Matter Expert: Michael…

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Kaiser Permanente Medical Financial Assistance (MFA) Program Application

application form • August 23, 2026

Information and application form for the Kaiser Permanente Medical Financial Assistance (MFA) program, providing temporary financial awards for eligible patients based on financial need.

Brand: Kaiser Permanente

Kaiser Permanente 2025 Membership Agreement and Evidence of Coverage - Virginia

manual • August 23, 2026

Review the 2025 Membership Agreement and Evidence of Coverage for Kaiser Permanente individuals and families in Virginia. Understand your health plan benefits, coverage details, and rights.

Brand: Kaiser Permanente

Kaiser Permanente Medical Care Program Provider Manual - August 2024

manual • July 8, 2026

A comprehensive guide for participating providers regarding the Kaiser Permanente Medical Care Program, including contact information for the Provider Experience Department, Utilization Management Operations Center, and Member Services.

Brand: Kaiser Permanente

2024 Summary of Benefits: Kaiser Permanente Medicare Advantage Liberty Plan (HMO)

brochure • July 5, 2026

Review the 2024 Summary of Benefits for the Kaiser Permanente Medicare Advantage Liberty Plan (HMO). This document outlines plan premiums, coverage, benefits, costs, and enrollment information for the specified service area.

Brand: Kaiser Permanente

Laboratory Instructions and Lab Locations for Kaiser Permanente Patients

instruction • July 3, 2026

Instructions for Kaiser Permanente patients and providers regarding laboratory requisitions, including a directory of central lab locations in Colorado.

Brand: Kaiser Permanente

Kaiser Permanente 2025 Small Group Evidence of Coverage - Virginia

manual • June 29, 2026

Review the 2025 Kaiser Permanente Small Group Evidence of Coverage for Virginia. This document details your health plan benefits, how to access care, member rights, and procedures for filing claims and grievances.

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Welcome to Kaiser Permanente: New Member Guidebook (Colorado)

guide • May 5, 2026

A comprehensive guide for new Kaiser Permanente members in Colorado, detailing how to set up an online account, choose a doctor, manage prescriptions, and access care services.

Brand: Kaiser Permanente

Kaiser Permanente Medicare Advantage (HMO) Individual Plans Provider Directory - Washington

Provider Directory • April 1, 2026

Find Kaiser Permanente Medicare Advantage (HMO) network providers in Washington state. This directory lists primary care physicians, specialists, and facilities for your health plan. Available in multiple formats and languages.

Brand: Kaiser Permanente

2024 Northern California HMO Provider Manual - Kaiser Permanente

Provider Manual • January 28, 2026

The official 2024 Northern California HMO Provider Manual from Kaiser Foundation Health Plan, Inc., detailing policies, procedures, contacts, and guidelines for healthcare providers participating in Kaiser Permanente's HMO plans.

Brand: Kaiser Permanente

Kaiser Permanente Northern California SNF Billing Instructions for Long Term Care

Billing Instructions • December 24, 2025

Official billing instructions from Kaiser Permanente Northern California for Skilled Nursing Facilities (SNFs) providing Long Term Care (LTC) services to Medi-Cal members. Includes EDI, payer IDs, and service codes for NCal region.

Brand: Kaiser Permanente

Kaiser Permanente Hawaii HMO Provider Manual: Policies, Procedures, and Resources

manual • December 11, 2025

Comprehensive guide for healthcare providers contracted with Kaiser Permanente's HMO plans in Hawaii. Covers program details, eligibility, benefits, member rights, billing, utilization management, quality assurance, compliance, and additional resources.

Brand: Kaiser Permanente

Kaiser Permanente $10 Preventive Dental Plan 2013 Overview and Benefits

Dental Benefits Directory • October 23, 2025

An informational overview of the Kaiser Permanente $10 Preventive Dental Plan for 2013, detailing benefits, coverage, provider selection, and a summary of fees, administered by Dominion Dental Services USA, Inc.

Brand: Kaiser Permanente