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Provider information

provider information

Clinical library

Expand your knowledge and enhance patient care.

Kaiser Permanente’s Clinical Library provides clinical reference materials for providers including: clinical practice guidelines, drug information, member education, textbooks, journal references and much more. Access anywhere, anytime via the web or mobile app.

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You will need a NUID (National User ID) to access Clinical Library. If you are not signed up for a NUID, please click here* to register for access.

Reference guides for providers

The provider manual includes provisions for both the fully insured program and the self-funded program. Please determine which program will most appropriately help you.

Part I: Fully insured program

Index: Table of Contents

Chapter 1: The Kaiser Permanente Medical Care Program

Chapter 2: Patient medical centers and network resources

Chapter 3: Products, delivery systems, and member ID cards

Chapter 4: Enrollment and eligibility

Chapter 5: Member rights, complaints, and appeals/grievances

Chapter 6: Primary care physicians services and responsibilities

Chapter 7: Compliance and regulatory policy

Chapter 8: Claims

Chapter 9: Utilization management and authorization

Chapter 10: Quality and health management

Chapter 11: Laboratory services

Chapter 12: Radiology services

Chapter 13: Pharmacy services

Chapter 14: Behavioral health services

Chapter 15: Kaiser Permanente's Flexible Choice Plan

 

Part II: Self-funded program

Chapter 1-15: Self-Funded Program

Sentara Health and Kaiser Permanente Virginia Medicaid Program

Chapter 1-13: Sentara Health and Kaiser Permanente Virginia Medicaid Program

Maryland HealthChoice Program

Sections I-VI: Maryland HealthChoice program.

Obtain a copy of the provider manual

You can obtain a full copy of our provider manual in two ways:

    By mail: download this form to request that we send you a provider manual.

    Download a copy of our provider manual by chapter.

Kaiser Permanente Mid-Atlantic States Applied Behavior Analysis Provider Reference Guide

The Applied Behavior Analysis Reference Guide offers information regarding coverage of and treatment utilizing Applied Behavior Analysis (ABA), as provided to Kaiser Permanente of the Mid-Atlantic States, Inc. members.

Provider Code of Conduct

The Code of Conduct highlights some provisions in the provider agreement as well as the minimum standards by which providers are expected to conduct themselves when serving Kaiser Permanente members and patients.

Our policies

Our policies cover topics from provider responsibilities to compliance. We've provided links to policies and procedures for some of our most important programs.

If you have questions about policies that aren't listed here or that you can't find in other areas of this website, please call Provider Relations at 1-877-806-7470 (toll free).

Newsletters

Our newsletters for Kaiser Permanente network providers offer timely information for practitioners and office managers, including updates about new programs and services.

 
2023

2022
December 2022
October 2022
June 2022
April 2022

2021
December 2021
October 2021
June 2021
March 2021

2020
December 2020
October 2020
June 2020
April 2020

Find Doctors and Locations

Now you can search for physicians, departments, facilities, and more, all in one place. Just select your area and choose the way you prefer to search. You can even narrow your results to find exactly what you need. Get phone numbers and addresses at a glance, or visit doctor and location home pages for detailed information.

    Find doctors and locations near you.