Announcements/Bulletins

Qualis Health Subscriber Flyer
Find out more about Qualis Health's case management services for WSHIP.

Forms

Utilization Review Request Form
Fill-out the above form to submit a case for utilization review.

Concurrent Review Request Form
Fill-out the above form to submit a case for concurrent review.

Retrospective Review Request Form
Fill-out the above form to submit a case for retrospective review.

Specialty Review Request Form
Fill-out the above form to submit a case for specialty review.

Case Management Referral Form
Fill-out the above form to refer a case for case management.

Case Management Referral Triggers
View a list of common conditions (including ICD-9 codes) and learn which conditions could benefit from a referral.