Click here to download the CHP+ Provider Manual.
Click here to download the CHP+ Notification of Other Insurance Form. Note: This form is for CHP+ provider use only and should be used when a current CHP+ member is also enrolled in another health insurance program.
Use this form for members who need to be added into the eligibility and enrollment system. Click here to download the CHP+ Add Member Request Form. Note: This form is for CHP+ provider use only.
Use this form for clients who wish to add a member to their CHP+ policy (such as a newborn baby.)
Click here to download the CHP+ Add Baby Request Form.
Some of the documents on this page can only be viewed using Adobe Acrobat® Reader®. If you don’t have Adobe Acrobat® Reader®, you can download a free copy by clicking here.
Adobe Acrobat® Reader® are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and/or other countries.
|
