Medicaid Managed Long Term Care

Provider Directory (MLTCP)

Provider Manual

Prior Authorization Request Form

Billing Modifiers and Codes

Claim Submission Information

Claim Review Request Form

Corrected Claim Tip Sheet

Important Contact Information

MLTCP Referral Form

How Do I Become a Kalos Health Provider?

Kalos Health welcomes new Providers who are dedicated to providing high quality care and services to it’s network. Contact Provider Relations to find out how to become a provider in our network. Call 1-800-894-2464 (TTY: 711) or email us below.

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