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Maximize the Sharp Experience

Here are some useful manuals to help make your experience with us smooth and beneficial for everyone involved.

To make this partnership as effective and positive as possible, we’ve provided some helpful guidelines for managing your patients through Sharp Health Plan. Using these tools should help you operate, understand and make the most out of your time with us and our members.

2021 Provider Operations Manual

Our Provider Operations Manual for commercial plans shows the benefits we offer, a list of provider responsibilities and efforts towards quality improvement.

DOWNLOAD THE 2021 MANUAL ➜

2020 Provider Operations Manual

Browse through our Provider Operations Manual for commercial plans to see all of the benefits we offer, a list of provider responsibilities and efforts towards quality improvement.

DOWNLOAD THE 2020 MANUAL ➜

Provider Operations Manual (Medicare)

With our Provider Operations Manual for Sharp Direct Advantage/Medicare members, you can learn about a variety of different topics ranging from coverage to services and offerings that are unique to Sharp Health Plan.

DOWNLOAD THE MEDICARE MANUAL ➜

Medical prior authorization

Our prior authorization guide makes it easy to determine when prior authorization is required for a particular service. Note that these guidelines are specific to services for members enrolled in an HMO plan and assigned to providers who are independently contracted with us.

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Behavioral health prior authorization

See what behavioral health and chemical dependency services require prior authorization for our commercial plan members.

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Helpful links

Provider forms ➜

Medicare forms ➜

Language assistance ➜