Provider Resources

Provider Manual

Medical Supplies And Equipment Covered Services And Limitations Module (January 2019)

Prior Authorization Materials

• Codes Requiring Prior Authorization (January 1, 2026)
• DME Medical Supplies & Equipment Prior Authorization Request Form
• Maintenance Therapy (PT, OT, ST) Review Guidelines (June 15, 2026)
• Skilled Nursing Prior Authorization Request Form
• Skilled Nursing Prior Authorization Request Form Instructions

Qualis Health Provider Portal

Go to the Qualis Health Provider Portal

Getting Started: Register

Get started by registering to use the Qualis Health Provider Portal. Complete the appropriate forms in the registration packet and email, fax or mail them to Qualis Health. We will contact you once we receive your registration packet.

Download the Qualis Health Provider Portal registration packet

Qualis Health Provider Portal Resources

• Quick Start Guide: Submitting DME Authorization Requests
   
• User Guide (December 2015)
   
• Administrator Guide (August 15, 2026)
   
• Find training webinar recordings and slides on the Provider Education page

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