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Learn more about how Alliance is using technology to make prior authorizations more efficient per the CMS-0057-F rule.

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Home / Provider Central / TP / Tailored Plan Policies / Tailored Plan Provider Contract Templates

Tailored Plan Provider Contract Templates

Tailored Plan contract templates for Medicaid services and state-funded services can be accessed on this page.

Medicaid Contract Template

State-funded Services Contract Template

Alliance Health Medicaid Direct Provider Contract Template

Alliance Health Tailored Plan and Medicaid Direct Provider Contract Amendment

  • Medicaid Contract Template
  • State-funded Services Contract Template
  • Alliance Health Medicaid Direct Provider Contract Template
  • Alliance Health Tailored Plan and Medicaid Direct Provider Contract Amendment