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  • Plan Documents, Provider Resources

2026 NV Summary of Benefits – Champion Select (HMO-POS C-SNP) H6474-003 (English)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Select (HMO-POS C-SNP) H6170-003 (English)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Connect (HMO-POS C-SNP) H6170-002 (Vietnamese)

  • Document
  • Plan Documents, Provider Resources

2026 NV Summary of Benefits – Champion Connect (HMO-POS C-SNP) H6474-002 (Spanish)

  • Document
  • Plan Documents, Provider Resources

2026 NV Summary of Benefits – Champion Connect (HMO-POS C-SNP) H6474-002 (English)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Connect (HMO-POS C-SNP) H6170-002 (English)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Advantage (HMO-POS C-SNP) H6170-001 (Vietnamese)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Advantage (HMO-POS C-SNP) H6170-001 (Spanish)

  • Document
  • Plan Documents, Provider Resources

2026 NV Summary of Benefits – Champion Advantage (HMO-POS C-SNP) H6474-001 (Spanish)

  • Document
  • Plan Documents, Provider Resources

2026 NV Summary of Benefits – Champion Advantage (HMO-POS C-SNP) H6474-001 (English)

  • Document
  • Plan Documents, Provider Resources

2026 CA Summary of Benefits – Champion Advantage (HMO-POS C-SNP) H6170-001 (English)

  • Document
  • Forms

2026 NV Scope of Appointment Form (Vietnamese)

  • Document
  • Forms

2026 CA Scope of Appointment Form (Vietnamese)

  • Document
  • Forms

2026 NV Scope of Appointment Form (Spanish)

  • Document
  • Forms

2026 CA Scope of Appointment Form (Spanish)

  • Document
  • Forms

2026 NV Scope of Appointment Form (English)

  • Document
  • Forms

2026 CA Scope of Appointment Form (English)

  • Document
  • Forms

Health Risk Assessment (HRA) Form (Vietnamese)

  • Document
  • Forms

Health Risk Assessment (HRA) Form (Spanish)

  • Document
  • Forms

Health Risk Assessment (HRA) Form (English)

  • Document