All the Jade Provider forms and documents can also be found below:

Provider Manual:

Jade Provider Quick Reference Guide (PDF)
San Francisco Health Plan (SFHP) Attestation Form (PDF)
San Francisco Health Plan (SFHP) Summary of Key Information (PDF)

Jade Administrative Forms:

Authorization for Email Communication (PDF)
Direct Deposit (PDF)
Provider Demographic Change Form (PDF)

Compliance Training Forms:

2022 Jade Annual Compliance Training (PDF)
2022 Jade Provider Attestation Form (PDF)
San Francisco Health Plan (SFHP) Summary of Key Information (PDF)
San Francisco Health Plan (SFHP) Attestation Form (PDF)

Referral Form/Service Authorization Form (SAF) :

Prescription Drug Authorization Form (PDF) - CCHP Commercial and Covered CA Members
Medication Request Form (PDF) - CCHP Medicare Members
Consultation Referral Form (PDF)
Authorization Request Form – Jade (PDF)

ICD-10 Forms:

ICD-10 User Guide (PDF)
Common ICD-10 Chronic Conditions (PDF)

CPT Coding Information:
Preventative Care Services Guidelines (PDF)