Policies and Forms

This page includes medical policies, forms and medical management guidelines for physical health. The documents are provided by CareOregon, a partner in Jackson Care Connect.

Provider Manual

Behavioral Health Guidelines and Forms

Policies – General

Policies – Pharmacy

Forms – Pharmacy

Policy Updates & Other Forms - Pharmacy


Use the Provider Portal to verify a member’s eligibility with Jackson Care Connect.

Authorization Guidelines

Changes are posted on the 15th day of the calendar month (or the next business day).

Diagnostic and Treatment Procedures - CPT Code Grid

DME - Authorization & Code Lists

Frequently Asked Questions (FAQ's)

Authorization Request Forms
Miscellaneous Policies and Forms

Top 5 Health Articles