Planes de Seguro Contratados
|
|
- Sherman McKenzie
- 5 years ago
- Views:
Transcription
1 Planes de Seguro Contratados A partir del 1. de octubre de 2018, Children s Health SM tiene contrato con los siguientes planes de seguro en las instalaciones siguientes: Children s Medical Center Dallas Children s Medical Center Plano Children s Health SM Specialty Center Dallas Campus Children s Health SM Specialty Center Plano Campus Children s Health SM Specialty Center 1 Plano Children s Health SM Specialty Center 2 Plano Children s Health SM Specialty Center West Plano Children s Health SM Specialty Center Bass Center Children s Health SM Specialty Center Richardson Children s Health SM Specialty Center Allen Children s Health SM Specialty Center Frisco Seguros Comerciales Baylor Scott & White Health Plan (Employees) Baylor Scott & White Health Plan Quality Alliance (BSWQA ACO Network) CIGNA Healthcare of Texas, Inc. (CIGNA Great-West) Galaxy Health Network Children s Health SM Specialty Center Park Cities Children s Health SM Specialty Center Mesquite Children s Health SM Specialty Center South Rockwall Children s Health SM Specialty Center North Rockwall Children s Health SM Center for Autism & Developmental Disabilities Children s Health SM Specialty Center Cityville Children s Health SM Sleep Disorders Center Children s Health SM Specialty Center Tyler Children s Health SM Specialty Center Las Colinas Children s Health SM Specialty Center Grapevine Children s Health SM Specialty Center Waxahachie, Inc. Regional Healthcare Alliance Scott & White Health Plan Stratose (formerly National Preferred Provider Network (NPPN)) Trinity Mother Frances (Employees & Their Dependents Only) UnitedHealthcare of Texas, Inc. USA Managed Care Organizations (USAMCO) UT Connect (Empleados del Sistema UT via BlueCross BlueShield) Managed Medicaid (State of Texas Access Reform (STAR)), Inc. Parkland Community Health Plan (HEALTHfirst) FirstCare Health Plans (CMCHP) SUPERIOR Health Plan (TCHP) Managed Medicaid Foster Care (STAR Health) (Servicios de salud médica y conductual) Medicaid Rural Service Area (MRSA) (Central, Northeast and West) (Central, Northeast and West) 1
2 Planes de Seguro Contratados A partir del 1. de octubre de 2018, Children s Health SM tiene contrato con los siguientes planes de seguro en las instalaciones siguientes: Children s Medical Center Dallas Children s Medical Center Plano Children s Health SM Specialty Center Dallas Campus Children s Health SM Specialty Center Plano Campus Children s Health SM Specialty Center 1 Plano Children s Health SM Specialty Center 2 Plano Children s Health SM Specialty Center West Plano Children s Health SM Specialty Center Bass Center Children s Health SM Specialty Center Richardson Children s Health SM Specialty Center Allen Children s Health SM Specialty Center Frisco Children s Health SM Specialty Center Park Cities Children s Health SM Specialty Center Mesquite Children s Health SM Specialty Center South Rockwall Children s Health SM Specialty Center North Rockwall Children s Health SM Center for Autism & Developmental Disabilities Children s Health SM Specialty Center Cityville Children s Health SM Sleep Disorders Center Children s Health SM Specialty Center Tyler Children s Health SM Specialty Center Las Colinas Children s Health SM Specialty Center Grapevine Children s Health SM Specialty Center Waxahachie Children s Health Insurance Program (CHIP, CHIP Perinate, and CHIP RSA) CHIP/CHIP Perinate CHIP/CHIIP Perinate Choicecare CHIP/CHIP Perinate FirstCare Health Plans CHIP/CHIP Perinate *Includes CHIP Perinate & CHIP Perinate RSA **Includes CHIP Perinate Newborns Only, Inc. CHIP/CHIP Perinate/CHIP RSA* Parkland Community Health Plan CHIP/CHIP Perinate (KIDSfirst)** CHIP/CHIP RS (TMHP) (Texas Medicaid) Children with Special Health Care Needs (CSHCN) Arkansas Medicaid (CMC Dallas & Plano) Louisiana Medicaid (CMC Dallas) Seguros de Salud Conductual (Solo comercial) (comercial) (se excluye el HMO Blue) CompCare (Solo comercial) Mississippi Medicaid (CMC Dallas Only New Mexico Medicaid (CMC Dallas Only) Oklahoma Health Care Authority (OHCA) (CMC Dallas & Plano) Managed Health Network (MHN)*** OptumHealth Behavioral Solutions (Commercial) OptumHealth Behavioral Solutions Scott & White Health Plan (Solo commercial para trastomos de la alimentación) (STAR Health Solo tutela temporal) (TCHP) *Se excluyen las terapias y pruebas psicológicas si el paciente no está internado Redes de Trasplante Blue Distinction Centers for Transplant TMO, Corazón, Higado CIGNA LifeSOURCE Network TMO, Corazón, Riñón, Higado National Transplant Network TMO, Corazón, Riñón, Higado INTERLINK TMO, CHD, Corazón, Hígado LifeTrac TMO, Corazón, Intestino, Riñón, Hígado, Multivisceral OptumHealth TMO, CHD, Corazón, Riñón, Hígado, Multivisceral OptumHealth UnitedHealthcare Compass W500 (COE) Protocol Tertiary Network TMO, Corazón, Riñón, Hígado En caso de tener preguntas, por favor lea su tarjeta de seguro, la póliza o cualquier otro material que tenga a su disposición sobre su plan de seguro. Además, recomendamos que se comunique a la compañía de seguro o con el administrador de beneficios a los empleados para verificar la cobertura o para pedir más información sobre su plan de salud. AVISO: Los médicos tienen contratos por separado con las organizaciones de atención médica administrada. Por lo tanto, esta lista sirve solamente de referencia para los servicios del hospital. Por favor, comuníquese directamente con el médico para averiguar en cuales planes participa. 2
3 Salud de los Niños Afiliados (Proveedores del Hospital Base) Proveedores de Práctica Avanzada (APPs) Enfermera Practicante and Asistente Médico Seguros Comerciales Seguros Comerciales (Continuó) Managed Medicaid (STAR//MRSA/CHIP) CIGNA Healthcare of Texas AMERGROUP (TCHP) FirstCare Health Plan Seguros de Salud Conductual (STAR (STAR Health included) Trinity Mother Frances OptumHealth Behavioral Solutions (Commercial) OptumHealth Behavioral Solutions (STAR, (Employees & Their Dependents Only) Anesthesiologists para Niños (AFC / AFC-Pain Management) Seguros Comerciales Seguros Comerciales (Continuó) Three Rivers Network (TRPN) Managed Medicaid (STAR/MRSA/CHIP) CIGNA Healthcare of Texas (TCHP) (STAR Health included) Servicios de Atención Médica Compleja (CCMSC) Seguros Comerciales CIGNA Healthcare of Texas, Inc Managed Medicaid (STAR/MRSA/CHIP) Traditional Medicaid Seguros de Salud Conductual (Commercial) CIGNA Behavioral Health LifeSynch ( Behavioral Health) Magellan Behavioral Health OptumHealth Behavioral Solutions Seguros de Salud Conductual (STAR/CHIP) 3
4 Salud de los Niños Afiliados (Proveedores del Hospital Base) Continuó Dallas Médico Los Servicios Médicos Para Los Niños (DPMSC Internistas) Seguros Comerciales Managed Medicaid (STAR/MRSA/CHIP) 1 CIGNA Healthcare of Texas (TCHP) (STAR Health included) 1 DPMSC s en el estado de la red miembros de es beneficio específico basado en el diseño de beneficios de miembros con su empleador. Por favor, póngase en contacto con su seguro para determinar el estado de participación. Dallas Médico Los Servicios Médicos Para Los Niños (DPMSC Orthodoncia) Aetna Dental DentaQuest for Superior HealthPlan CIGNA Dental Delta Dental Insurance Company (DDIC) Dental Benefit Providers (UnitedHealthcare) Dental DHMO Dental Network of America (DNOA) MCNA Dental Plans DentaQuest Clínica Dental de los Niños Aetna Dental CIGNA Dental Delta Dental Insurance Company (DDIC) Dental Benefit Providers (UnitedHealthcare) Dental Network of America (DNoA) DentaQuest Dental DHMO MCNA Dental Plans 4
5 Salud de los Niños Afiliados (Proveedores del Hospital Base) Continuó Atención de la Salud a Domicilio (HHC) Seguros Comerciales Managed Medicaid (STAR/MRSA/CHIP) (HHC Only) CareCentrix (TCHP) (STAR Health ONLY) Unitedhealthcare of Texas Inc. Equipo Médico a Domicilio (HME) Seguros Comerciales Managed Medicaid (STAR/MRSA/CHIP) (HHC Only) CareCentrix (TCHP) 5
6 Salud de los Niños Afiliados (Clinica de Pacientes Ambulatorios) A partir del 1. de setiembre de 2018, Children s Health SM Pediatric Group tiene contrato con los siguientes planes de seguro en las instalaciones siguientes: Children s Health SM Pediatric Group Bachman Lake Children s Health SM Pediatric Group Carrollton Children s Health SM Pediatric Group Cedar Hill Children s Health SM Pediatric Group Celina Children s Health SM Pediatric Group Cockrell Hill Children s Health SM Pediatric Group DeSoto Children s Health SM Pediatric Group Garland Children s Health SM Pediatric Group Irving Children s Health SM Pediatric Group Lake Highlands Children s Health SM Pediatric Group Lancaster Kiest Children s Health SM Pediatric Group McKinney Children s Health SM Pediatric Group Medical District Children s Health SM Pediatric Group Oak Cliff Children s Health SM Pediatric Group Pleasant Grove Children s Health SM Pediatric Group St. Phillips Children s Health SM Pediatric Group Prosper Children s Health SM Pediatric Group West Plano Pediátrica de la Salud de los Niños (CHPG) antes MyChildren s Seguros Comerciales Managed Medicaid (STAR/MRSA/CHIP) Seguros de Salud Conductual (Comerciales) CIGNA Behavioral Health CIGNA Healthcare of Texas Integrated Health Plan (STAR Health included) SUPERIOR Health Plan * (TCHP) *Tarrant County CHPG Locations ONLY LifeSynch ( Behavioral Health) Magellan Behavioral Health MHNet Behavioral Health (Coventry) OptumHealth Behavioral Solutions Seguros de Salud Conductual (STAR/STAR+PLUS/CHIP) (STAR (TCHP)\ 6
7 Casa de Nuestros Niños Como de September 20, 2015, Children s Health SM ahora incluye las siguientes Nuestros niños ubicaciones House: Our Children s House Dallas 1340 Empire Central, Dallas, TX Casa de Nuestros Niños Seguros Comerciales Managed Medicaid (STAR/MRSA/CHIP) Redes de Transplante CIGNA LifeSOURCE LifeTrac Transplant Network CIGNA Healthcare of Texas HealthSmart Stratose (formerly NPPN) Trinity Mother Frances (Employees & Their Dependents Only) USA Managed Care Organizations (USAMCO) (STAR Health included) (TCHP) National Transplant Network INTERLINK Transplant Network OPTUM Health Protocol Tertiary Network Seguros de Salud Conductual (STAR OptumHealth Behavioral Solutions (Commercial) OptumHealth Behavioral Solutions (STAR, Oklahoma Health Care Authority (OHCA) 7
8 Servicios de Rehabilitación y Terapia de la Salud Infantil (CHRTS) Ubicaciones de la terapia ambulatorial de salud infantil: Specialty Center Allen Specialty Center Cityville 8 Prestige Circle, Ste. 101, Allen, TX Medical District Drive, Dallas, TX Specialty Center North Rockwall 2455 Ridge Road, Ste. 255, Rockwall, TX Specialty Center Frisco 7010 Preston Road, Ste. 240, Frisco, TX Specialty Center Plano 7000 W. Plano Parkway, Ste. 210, Plano, TX Specialty Center Plano Campus 7601 Preston Road, Plano, TX Specialty Center Las Colinas 7453 Las Colinas Blvd., Irving, TX Specialty Center Grapevine 1643 Lancaster Drive, Ste. 300, Grapevine, TX Specialty Center Richardson Specialty Center Mesquite Specialty Center Waxahachie CityLine Wellness Building, 3661 N. Plano Road, Ste. 500, Richardson, TX Republic Parkway, Ste. 190, Mesquite, TX N. Highway 77, Ste. 10, Waxahachie, TX Commercial (Private Health Insurance) Managed Medicaid (STAR) Transplant Networks CIGNA LifeSOURCE LifeTrac Transplant Network CIGNA Healthcare of Texas Galaxy Health Network Regional Healthcare Alliance Stratose (formerly NPPN) Provider Networks (Aetna/THR) Trinity Mother Frances (Employees & Their Dependents Only) USA Managed Care Organizations (USAMCO) FirstCare Health Plans Managed Medicaid (CHIP, Perinate, RSA) FirstCare Health Plans * Parkland Community Health Plan** *Incluye CHIP y perinate de CHIP RSA **Incluye recién nacidos de perinate de CHIP (TCHP) Managed Medicaid (STAR Health) (Medical & Behavioral) Medicaid Rural Service Area (MRSA) (Central, Northeast and West) (Central, Northeast and West) National Transplant Network INTERLINK Transplant Network OPTUM Health Protocol Tertiary Network Behavioral Health BlueCross Blue Shield of Texas (Commercial) CompCare Managed Health Network (MHN)*** OptumHealth Behavioral Solutions (Commercial) OptumHealth Behavioral Solutions Scott & White Health Plan (Commercial Only) (STAR Health Only) ***Terapia y pruebas psicológicas excluidas sin una estadía hospitalaria. Traditional Medicaid Arkansas Medicaid (Dallas & Plano) Louisiana Medicaid (Dallas) Mississippi Medicaid (Dallas) New Mexico Medicaid (Dallas) Oklahoma Health Care Authority (Dallas & Plano) 8
Planes de Seguro Contratados
Planes de Seguro Contratados A partir del 1. de junio de 2018, Children s Health SM tiene contrato con los siguientes planes de seguro en las instalaciones siguientes: Children s Medical Center Dallas
More informationPlanes de Seguro Contratados
Planes de Seguro Contratados A partir del 1. de enero de 2018, Children s Health SM tiene contrato con los siguientes planes de seguro en las instalaciones siguientes: Children s Medical Center Dallas
More informationContracted Insurance Plans
Contracted Insurance Plans As of September 1, 2018, Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
More informationContracted Insurance Plans
Contracted Insurance Plans As of December 1, 2017 Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
More informationContracted Insurance Plans
Contracted Insurance Plans As of March 1, 2018, Children s Health SM has contracts with the following health care insurance plans for the following locations: Children s Medical Center Dallas Children
More informationCHILDREN S STUDENT HANDBOOK. Welcome to Children s Health! We want you to have an enjoyable and educational experience while you are with us.
CHILDREN S STUDENT HANDBOOK Welcome to Children s Health! We want you to have an enjoyable and educational experience while you are with us. Children s Health is the leading pediatric health care system
More informationAetna Better Health. CHIP Manual del Miembro Children s Health Insurance Program. Áreas de Servicio de Bexar/Tarrant
Aetna Better Health CHIP Manual del Miembro Children s Health Insurance Program Áreas de Servicio de Bexar/Tarrant Servicios para Miembros 1-866-818-0959 (Bexar) 1-800-245-5380 (Tarrant) Aetna Better Health
More informationProvider Quick Reference
Provider Quick Reference Georgia Planning for Healthy Babies Program 1-800-454-3730 providers.amerigroup.com GAPEC-1771-17 Amerigroup Community Care has contracted with the Georgia Department of Community
More informationBehavioral Health Services Handbook
Behavioral Health Services Handbook Your Guide to the Medicaid Prepaid Mental Health Plan Mental Health and Substance Abuse Services In Carbon, Emery and Grand Counties Administrative Offices 105 West
More informationRegence EmployeeChoice Plan Highlights Platinum 250, Platinum 500, Gold 500, Gold 1000, Gold 1500, Silver 2500, Bronze Essential /1/2016
Plan Information Provider networks: Members have direct access to their choice of providers. Member cost-sharing is lowest for In-Network providers. If a member chooses an Out-of-Network provider, the
More informationFinancial Aid Information
Financial Aid Student loans Financial aid refers to any grant, scholarship, loan or paid employment offered to help a student meet his/ her college expenses. These monies can be meritbased and/or need-based.
More informationORCUTT UNION SCHOOL DISTRICT Registration
ORCUTT UNION SCHOOL DISTRICT Registration Alice Shaw Joe Nightingale Lakeview Junior High Olga Reed Orcutt Academy Orcutt Junior High Patterson Road Pine Grove Ralph Dunlap To Be Provided by Parent/Guardian:
More informationCHIP Member Handbook. Vea español al otro lado. June 2018
June 2018 CHIP Member Handbook Vea español al otro lado For more information, call / para más información, llame al 1-877-639-2447. www.firstcare.com FC-M001 06/18 Value-Added Services is committed to
More informationMedicaid Prepaid Mental Health Plan Information Handbook
Medicaid Prepaid Mental Health Plan Information Handbook Prepaid Mental Health Services provided by Wasatch Mental Health Prepaid Substance Use Disorder Services provided by Utah County Department of Drug
More informationMedicaid Prepaid Mental Health Plan
Medicaid Prepaid Mental Health Plan Prepaid Mental Health Services provided by Wasatch Mental Health Prepaid Substance Use Disorder Services provided by Utah County Department of Drug and Alcohol Prevention
More informationChapter 6 Citizen Participation Plan
Chapter 6 Citizen Participation Plan Every applicant and recipient of state of Oregon Community Development Block Grant (CDBG) funds must comply with the citizen participation requirements provided in
More informationFinancial Aid Information
Financial Aid Federal Pell Grants Financial aid refers to any grant, scholarship, loan or paid employment offered to help a student meet his/ her college expenses. These monies can be meritbased and/or
More informationWhat changes are occurring with Texas Vendor Drug Program?
Superior HealthPlan What changes are occurring with Texas Vendor Drug Program? Beginning March 1, 2012, Medicaid and CHIP patients enrolled in Managed Care will no longer receive their pharmacy benefits
More informationSingle/Family $2,500/$5,000 $5,000/$10,000. Single/Family $6,000/$12,000 $10,000/None. Single/Family $5,000/$10,000 $6,250/$12,500
Plan Information Provider networks: Members have direct access to their choice of providers. Member cost-sharing is lowest for In-Network providers. If a member chooses an Out-of-Network provider, the
More informationHow your health insurance works
How your health insurance works Important information about you and your membership in Blue Cross and Blue Shield of North Carolina As a member of Blue Cross and Blue Shield of North Carolina (BCBSNC),
More informationUn Reembolso de los Costos de Certificación Orgánica Programa para Reembolsar los Costos de Certificación Orgánica
Un Reembolso de los Costos de Certificación Orgánica Programa para Reembolsar los Costos de Certificación Orgánica Solicite hoy y obtenga un reembolso de hasta 75% por sus tarifas de certificación por
More informationSingle/Family $2,500/$5,000 $5,000/$10,000. Single/Family $6,000/$12,000 $10,000/None. Single/Family $5,000/$10,000 $6,250/$12,500
Plan Information Provider networks: Members have direct access to their choice of providers. Member cost-sharing is lowest for In-Network providers. If a member chooses an Out-of- Network provider, the
More informationOFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner
OFFICE OF POLICY, PROCEDURES, AND TRAINING James K. Whelan, Executive Deputy Commissioner Stephen Fisher, Assistant Deputy Commissioner Office of Procedures POLICY BULLETIN #17-72-EMP NEW REQUIREMENT FOR
More informationTED STONECLIFFE, LONG-RANGE PLANNING ANALYST
MEMO TO: FROM: THRU: SUBJECT: BOARD OF DIRECTORS TED STONECLIFFE, LONG-RANGE PLANNING ANALYST ALLAN POLLOCK, GENERAL MANAGER APPROVAL OF APPLICATION FOR 2015-2017 BIENNIUM SPECIAL TRANSPORTATION FUND (STF)
More informationREQUEST FOR QUALIFICATIONS CS Architectural Services Addendum No. 2
Dallas Independent School District Construction Services 2015 Bond Program 3801 Herschel Ave. Dallas, TX 75219 REQUEST FOR QUALIFICATIONS CS 17-002 Architectural Services Addendum No. 2 September 8, 2017
More informationYAI Family Reimbursement Program Guidelines PLEASE READ BEFORE COMPLETING APPLICATION
YAI Family Reimbursement Program Guidelines PLEASE READ BEFORE COMPLETING APPLICATION YAI s Family Reimbursement Fund provides financial assistance to people with developmental disabilities who reside
More informationcommunity. Welcome to the , TDD/TTY: 711, for hearing impaired Texas April 2016 STAR+PLUS Member Handbook CSTX15MC _000
Welcome to the community. Texas April 2016 STAR+PLUS Member Handbook 1-888-887-9003, TDD/TTY: 711, for hearing impaired CSTX15MC3807901_000 1-888-887-9003 TDD/TTY: 711, for hearing impaired Monday Friday,
More informationPolicy and Procedures for Program Evaluation
Chapter 6 Policy and Procedures for Program Evaluation Overview Evaluation of the Colorado Colorectal Screening Program will provide information about patient demographics and clinical outcomes necessary
More information2008 Long Term Care Nursing Facility and Hospice Workshop
The Texas Medicaid & Healthcare Partnership presents: 2008 Long Term Care Nursing Facility and Hospice Workshop WORKBOOK Contents Slide Presentation... 5 Provider Inquiry System... 29 Creating an Administrator
More informationmember news In this issue: FirstCare STAR & CHIP November 2016 FirstCare Extra Benefits pg 4 Getting Answers to Your Questions pg 6
member news November 2016 FirstCare STAR & CHIP In this issue: Quality Improvement (QI) Program pg 2 Services Needing Approval pg 3 Case Management Services pg 3 Interpretation Services pg 3 FirstCare
More informationInformation for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)
Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2015 December 31, 2015 Los Angeles County This publication is a supplement to the 2015 Evidence of Coverage and
More informationPATIENT REGISTRATION
PATIENT REGISTRATION Patient Home Phone ( ) - Address Work Phone ( ) - City State Zip Cell Phone ( ) Birthdate Social Security # - - DL# E-Mail Address How did you hear about us? Billboard, Phone Book,
More informationhealthcare. The patient portal allows patients to take charge of their own healthcare and
Increasing Portal System Utilization among Patients of a Community Health Center A survey of adult patients at a community health center along with recommendations for improvement and recruiting patients
More informationUse the drop downs to identify the kinds of activities you are proposing. See the RFP for details.
MSM INITIATIVE COMMUNITY AWARDS APPLICATION +Please read the instructions before completing the application form and project narrative. +Por favor, lea las instrucciones antes de completar estos formularios
More informationWhen replying please quote: Ref.: NT-N , NT-NS2-35 E.OSG - NACC September 2017
When replying please quote: Ref.: NT-N1-8.3.13, NT-NS2-35 E.OSG - NACC69490 28 September 2017 To: States, Territories and International Organizations Subject: Rescheduling of the NAM/CAR/SAM Automatic
More informationMary s Center Spring 2015 Needs Assessment Questionnaire. Julie Grysavage The George Washington University
Mary s Center Spring 2015 Needs Assessment Questionnaire Julie Grysavage The George Washington University Overview Goal: to perform an updated needs assessment questionnaire (31 questions total) assessing:
More informationHome is where Telehealth is In fact, Telehealth is wherever you need to be.
Telehealth Home is where Telehealth is In fact, Telehealth is wherever you need to be. When registering on the American Well site for the first time, members will be asked for a service key. Your service
More informationPROFESSIONAL AMBULANCE VITAL SIGNS REPORT
PROFESSIONAL AMBULANCE VITAL SIGNS REPORT SURVEYS RECEIVED 8-1-2017 THROUGH 10-31-2017 FILTERS: SURVEY: 1 P.O. Box 100, Andover MA 01810 (844) 340-6060 Feedback-Innovations.com 1.0 EXECUTIVE SUMMARY Professional
More informationNorthSTAR MEMBER INFORMATION AND PROVIDER DIRECTORY Libro de Miembros y Directorio de Proveedores 09/01/06
ValueOptions NorthSTAR MEMBER INFORMATION AND PROVIDER DIRECTORY Libro de Miembros y Directorio de Proveedores 09/01/06 Si necesita esta informacion en espanol ~ solamente, por favor llame: 1-888-800-6799
More informationPosition Title: Department: Shift (check one): Day Evening Night
Pressure Ulcers: CNA Knowledge and Attitude Survey We are interested in your individual answer. Please mark True (T) or False (F) for each of the following statements. Position Title: Department: Shift
More informationPRE-K Enrollment Form-Perryton ISD
PRE-K Enrollment Form-Perryton ISD Legal First Name: Middle Name: Legal Last Name: Social Security: Sex: DOB: Birthplace: Parent/Guardian Information 1. Relation Home Phone Cell Phone Physical Address
More informationENROLLMENT REQUIREMENTS FOR SLIDING FEE PATIENTS
8515 Greenville Avenue, Suite N-210 Dallas, TX 75234 (214) 221-0855 ENROLLMENT REQUIREMENTS FOR SLIDING FEE PATIENTS 1. Proof of Household Income from everyone in the household who works Most recent pay
More informationTRUCK DRIVER APPLICATION
27154 County Road 13 / Johnstown, CO 80534 office 970.669.1463 / fax 970.669.1964 TRUCK DRIVER APPLICATION TO THE APPLICANT: GERRARD EXCAVATING, INC. DOES NOT DISCRIMINATE IN HIRING OR EMPLOY ON THE BASIS
More informationPresbyterian Centennial Care Transportation, Lodging, and Meals Frequently Asked Questions (FAQ)
P.O. Box 27489, Albuquerque, NM 87125-7489 Presbyterian Centennial Care Transportation, Lodging, and Meals Frequently Asked Questions (FAQ) We are here to help you with your Presbyterian Centennial Care
More information2017 Individual Plan Combined Membership Agreement, Disclosure Form, and Evidence of Coverage for Kaiser Permanente for Individuals and Families
Kaiser Foundation Health Plan, Inc. Northern and Southern California Regions A nonprofit corporation 2017 Individual Plan Combined Membership Agreement, Disclosure Form, and Evidence of Coverage for Kaiser
More informationEvidence of Coverage. Tufts Medicare Preferred HMO GIC (HMO) Employer Group. July 1 December 31, 2018
July 1 December 31, 2018 Evidence of Coverage Your Medicare Health Benefits and Services as a Member of: Tufts Medicare Preferred HMO GIC (HMO) Employer Group This booklet gives you the details about your
More informationSanta Barbara County Public Health Department MEDIA GUIDE
Santa Barbara County Public Health Department MEDIA GUIDE INTRODUCTION This guide is intended to assist the media in obtaining timely information from the Santa Barbara County Public Health Department
More informationEVIDENCE OF COVERAGE Molina Medicare Options Plus HMO SNP
Molina Medicare Options Plus HMO SNP Member Services CALL (800) 665-0898 Calls to this number are free. 7 days a week, 8 a.m. to 8 p.m., local time. Member Services also has free language interpreter services
More informationPerito Urology Paul E. Perito, M.D., P.A.
PATIENT INFORMATION: Patients Name: Nombre del paciente Address: Direccion Fecha Date: City: Ciudad State: Zipcode: Telephone: Estado Codigo Telefono Email: Date of Birth: Sex: Social Security #: Fecha
More informationSACRAMENTO CITY COLLEGE
SACRAMENTO CITY COLLEGE 2014-2015 CATALOG ADDENDUM NOVEMBER 2014 Sacramento City College 2014-2015 Catalog Addendum, November 2014 The Addendum to the 2014-2015 Sacramento City College Catalog contains
More informationCONTRACTED NETWORK PROVIDER DIRECTORY
CONTRACTED NETWORK PROVIDER DIRECTORY LISTA DE LA RED DE PROVEDORES DUTCHESS COUNTY Page Number 4 4 5 5 5 7 8 9 11 12 12 13 Table of Contents ADULT DAY HEALTH CARE CUIDADO DE SALUD DIURNO PARA ADULTOS
More informationV-SOFT LIAISON TRAINING MANUAL
2017-2018 V-SOFT LIAISON TRAINING MANUAL SBISD VOLUNTEERS MUST REGISTER EVERY YEAR All volunteers must register online at the SBISD website (www.springbranchisd.com) every year and pass a criminal background
More informationSB 75 FULL SCOPE MEDI-CAL FOR ALL CHILDREN APRIL 11, 2016
SB 75 FULL SCOPE MEDI-CAL FOR ALL CHILDREN APRIL 11, 2016 Danice Cook, HealthPAC Administrator Health Care Services Agency Jessica Woodward Nicholas, Policy and Planning Coordinator Center for Healthy
More informationCHAPARRAL MEDICAL GROUP, INC.
CHAPARRAL MEDICAL GROUP, INC. DATE (FECHA) ACCT. # NEW UPDATE PLEASE PRINT CLEARLY FAVOR DE IMPRIMIR PATIENT (PACIENTE) PATIENT LAST NAME (APELLIDO) FIRST NAME (NOMBRE DE PILA) INITIAL PREVIOUS NAME (MAIDEN)
More informationSALISH BEHAVIORAL HEALTH ORGANIZATION UTILIZATION MANAGEMENT POLICIES AND PROCEDURES
SALISH BEHAVIORAL HEALTH ORGANIZATION UTILIZATION MANAGEMENT POLICIES AND PROCEDURES Policy Name: AUTHORIZATION FOR OUTPATIENT SERVICES BASED ON MEDICAL NECESSITY Policy Number: 7.01 Reference: 42 CFR
More information9.5 REFUSAL OF TREATMENT/TRANSPORT POLICY
9.5 REFUSAL OF TREATMENT/TRANSPORT POLICY PURPOSE This policy outlines the evaluation of a patient refusing treatment or transport and the documentation expected when obtaining such a refusal. POLICY I.
More informationIntroducing Superior HealthPlan s Medicare Advantage (HMO) Plan SHP_ H
Introducing Superior HealthPlan s Medicare Advantage (HMO) Plan SHP_20163759H Healthy Partnerships are our Specialty. At Superior HealthPlan, we are dedicated to creating the best health-care plans for
More informationIf you have any questions concerning this process, please discuss this with our Business Office at ext or 3910.
Silverdale Detention Center Chattanooga, Tennessee Inmate Mail Information All mail MUST have a return name and address on the envelope. The mailing address: Inmate Name, with ID# and Dorm P.O.BOX 23148
More informationPLAN DESIGN & BENEFITS PROVIDED BY AETNA HEALTH INC. - FULL RISK
PLAN FEATURES Deductible (per calendar year) PLAN DESIGN & BENEFITS None Individual None Family The family Deductible is a cumulative Deductible for all family members. The family Deductible can be met
More informationMEMBER HANDBOOK NEUROBEHAVIOR HOME PROGRAM
MEMBER HANDBOOK Our mission is to optimize the quality of life of the people we serve by providing excellent, compassionate, and integrated health services throughout the life span. NEUROBEHAVIOR HOME
More information$2,000 Individual. Deductible (per calendar year)
PLAN FEATURES Deductible (per calendar year) FAMILY PHYSICIANS GROUP $2,000 Individual $4,000 Family Unless otherwise indicated, the deductible must be met prior to benefits being payable. Member cost
More informationDuring our move to these new computer systems, you may notice a few changes:
2017 - Q3 Hum Taos Health Systems newsletter Update From Bill Patten Holy Cross Hospital is committed to continuously improving the care and services we provide in order to give you health care with peace
More informationSheriff Road-Capitol Heights Line. How to use this timetable. Cómo Usar este Horario. Page 1 of 6. Effective F14
How to use this timetable Use the map to find the stops closest to where you will get on and off the bus. Select the schedule (Weekday, Saturday, Sunday) for when you will travel. Along the top of the
More informationKaiser Permanente Traditional Plan Evidence of Coverage for UNIVERSITY OF SOUTHERN CALIFORNIA
EOC #1 - Kaiser Foundation Health Plan, Inc. Southern California Region A nonprofit corporation Kaiser Permanente Traditional Plan Evidence of Coverage for UNIVERSITY OF SOUTHERN CALIFORNIA Group ID: 101728
More informationSAISD BREAKFAST IN THE CLASSROOM (BIC) TRAINING
SAISD BREAKFAST IN THE CLASSROOM (BIC) TRAINING In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color,
More informationPEBP Participants YOUR HMO PLAN. State of Nevada. Keeping it simple Southern Nevada. Health Plan of Nevada
YOUR HMO PLAN Keeping it simple Southern Nevada Health Plan of Nevada State of Nevada PEBP Participants 2 Health Plan of Nevada has been serving Nevadans for over 35 years. We have a special connection
More informationIncorporation of the Supply of Antiretrovirals into the Dominican Republic s Integrated Management System for Pharmaceuticals and Medical Supplies
Incorporation of the Supply of Antiretrovirals into the Dominican Republic s Integrated Management System for Pharmaceuticals and Medical Supplies The integration of the medicine and medical supply systems
More informationCOUNTY OF LOS ANGELES
JAMES A. NOYES, Director COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC WORKS 900 SOUTH FREMONT AVENUE ALHAMBRA, CALIFORNIA 91803-1331 Telephone: (626) 458-5100 www.ladpw.org ADDRESS ALL CORRESPONDENCE TO:
More informationNURSING STUDENTS. Welcome to Children s Health. While you are here, we want you to have an enjoyable and educational experience.
NURSING STUDENTS Welcome to Children s Health. While you are here, we want you to have an enjoyable and educational experience. Children s Health is the leading pediatric health care system in North Texas,
More informationUnitedHealthcare Community Plan STAR Member Handbook
TEXAS APRIL 2016 STAR Member Handbook Counties Served: Austin, Brazoria, Cameron, Chambers, Duval, Fort Bend, Galveston, Hardin, Harris, Hidalgo, Jim Hogg, Jasper, Jefferson, Liberty, Matagorda, Maverick,
More informationSummary of Benefits and Coverage
Summary of Benefits and Coverage Resumen de beneficios y cobertura: Lo que cubre este plan y lo que usted paga por los servicios cubiertos Periodo de cobertura: A partir del 01/01/2018 : Silver 70 HMO
More informationADDRESSING THE NEED FOR IMPROVED COMMUNICATION WITH SPANISH-SPEAKING INDIVIDUALS AT A CHILDRENS HOSPITAL
ADDRESSING THE NEED FOR IMPROVED COMMUNICATION WITH SPANISH-SPEAKING INDIVIDUALS AT A CHILDRENS HOSPITAL Presented to Jane Schneider Assistant to the Chief Executive Officer A Hospital for Children Prepared
More informationPLAN DESIGN & BENEFITS PROVIDED BY AETNA
PLAN FEATURES Deductible (per calendar year) PLAN DESIGN & BENEFITS None Individual None Family The family Deductible is a cumulative Deductible for all family members. The family Deductible can be met
More informationNotes. Does Overlake Medical Center (Hospital) Participate? Clinics (OMC) Participate?
Health Plan Does Overlake Medical Center (Hospital) Participate? Does Overlake Medical Clinics (OMC) Participate? Notes Aetna Overlake Medical Clinics is NOT a designated Aetna Aexcel Physician Group Aetna
More informationKaiser Permanente Traditional Plan Evidence of Coverage for SAN JOAQUIN COUNTY
EOC #37 - Kaiser Foundation Health Plan, Inc. Northern California Region A nonprofit corporation Kaiser Permanente Traditional Plan Evidence of Coverage for SAN JOAQUIN COUNTY Group ID: 16653 Contract:
More informationSummary of Benefits and Coverage
Summary of Benefits and Coverage Resumen de beneficios y cobertura: Lo que cubre este plan y lo que usted paga por los servicios cubiertos Periodo de cobertura: A partir del 01/01/2018 : Platinum 90 HMO
More informationPLAN DESIGN & BENEFITS
PLAN FEATURES Deductible (per calendar year) Out-of-Pocket Maximum (per calendar year) Poway Unified School District None Individual None Family $1,500 Individual $3,000 Family In-Network expenses include
More informationREFUSAL OF CARE AND/OR TRANSPORTATION
Operations 21 Page 1 REFUSAL OF CARE AND/OR TRANSPORTATION APPROVED: 1 Purpose: 1.1 To determine when a person is identified as a patient in the EMS system. 1.2 To establish a standard process for the
More informationFOOTHILL DE ANZA COMMUNITY COLLEGE DISTRICT Office of Human Resources & Equal Opportunity TUBERCULIN RISK ASSESSMENT/TB TEST FORM
FOOTHILL DE ANZA COMMUNITY COLLEGE DISTRICT Office of Human Resources & Equal Opportunity TUBERCULIN RISK ASSESSMENT/TB TEST FORM To satisfy job-related requirements in the California Education Code and
More informationSummary of Benefits and Coverage
Summary of Benefits and Coverage Resumen de beneficios y cobertura: Lo que cubre este plan y lo que usted paga por los servicios cubiertos Periodo de cobertura: A partir del 01/01/2018 : Gold 80 HMO 500/30
More informationthe key to the good life is a great plan Voltee para español! WINTER about your plan familycare Elkridge, MD 21075
the key to the good life is a great plan Voltee para español! WINTER 2011 New name, same plan 6about your plan We re now UnitedHealthcare Community Plan. Only our name has changed. You will still have
More informationSummary of Benefits and Coverage
Summary of Benefits and Coverage Resumen de beneficios y cobertura: Lo que cubre este plan y lo que usted paga por los servicios cubiertos Periodo de cobertura: A partir del 01/01/2018 : Bronze 60 HMO
More information2016 McDonald's Texas Invitational Home team listed on the bottom
2016 McDonald's Texas Invitational Home team listed on the bottom Thursday Phillips Memorial Dobie So. Houston Rayburn Pasadena Deer Park Deer Park Deer Park Beverly Hills Nov. 17th Field House High School
More informationAnnual Notice of Changes for 2017
Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan South (HMO SNP) offered by Kaiser Foundation Health Plan, Inc., Southern California Region Annual Notice of Changes for 2017 You are currently
More information4J ELEMENTARY SCHOOLS: See what our schools offer!
4J ELEMENTARY SCHOOLS: See what our schools offer! January Is School Choice Month CALL TO REGISTER: Unless otherwise noted, please call the school office to register for a tour. DESIGNED FOR ADULTS: Tours
More informationInformation for Dual-Eligible Members with Secondary Coverage through California Regular Medi-Cal (Fee-for-Service)
Information for Dual-Eligible Members with Secondary Coverage through California January 1, 2011 December 31, 2011 Los Angeles County This publication is a supplement to the 2011 Positive (HMO SNP) Evidence
More informationMEMBER HANDBOOK. Absolute Total Care (MMP) H1723_ANOCMH17_Approved_
2017 Absolute Total Care (MMP) H1723_ANOCMH17_Approved_09082016 ANNUAL NOTICE OF CHANGES FOR 2017 H1723_ANOCMH17_Approved_09082017 Table of Contents A. Think about Your Medicare and Healthy Connections
More informationSpring 2016 Health & Wellness Newsletter
Spring 2016 Health & Wellness Newsletter In This Issue Check out what Molina offers online... 1-3 Annual Checkup...3 Are You Taking Any Medicine?...3 Benefits of Health Programs for Woman...4 Your Extra
More informationWelcome to Arboretum Pediatrics
Welcome to Arboretum Pediatrics Congratulations on your bundle of joy! We hope that you find this packet helpful in answering any questions you may have about our practice. If you have any questions or
More informationCity State Zip Code Position of Interest Date Available for Work. Circle One
Page 1 of 3 Application for Employment Please print. Answer all questions completely. Only completed applications will be considered. You may attach a resume, but complete this application as well. Compass
More informationWhat is an Organized Delivery System (ODS) from a Filing and Legal Perspective?
What is an Organized Delivery System (ODS) from a Filing and Legal Perspective? Presented By: Kevin Joyce: VP, Network & Delivery Systems, QualCare, Inc. Carol Grelecki: Esq, Brach Eichler, LLC July 16,
More informationWorkplace Health Promotion
Workplace Health Promotion Spain Mª Begoña Martínez-Jarreta University of Zaragoza Spain Workplace Health Promotion General Definition Workplace Health Promotion (WHP) is the combined efforts of employers,
More informationFemale athlete continuing her education, involved in at least 2 sports, minimum 2.5 GPA.
El Molino High School Local Scholarships 2016-2017 Please mark any and all scholarships for which you may qualify and seek to apply. Ali Manaro Memorial Athletic Scholarship Female athlete continuing her
More informationMY CIGNA-HEALTHSPRING STAR+PLUS MEMBER HANDBOOK
MY CIGNA-HEALTHSPRING STAR+PLUS MEMBER HANDBOOK Member Services 1-877-653-0327 (TTY: 7-1-1) Monday to Friday 8 a.m. to 5 p.m. Central Time September 2017 5 MCDTX_17_58891 10242017 WELCOME TO BETTER HEALTH
More informationJAMAICA s Journey. Cooperación Económica y Técnica
JAMAICA s Journey Andrene Collings Director MSME Unit Ministry of Industry, Commerce, Agriculture and Fisheries, Jamaica Cooperación Económica y Técnica Seminario Taller sobre Emprendimiento Hacia la creación
More informationTRINITY VALLEY COMMUNITY COLLEGE
1 of 5 Academic Students ACCD - San Antonio College 1 Angelina College 6 Austin Community College 7 Blinn College 22 Central Texas College 5 Cisco College 2 Coastal Bend College 1 Collin County Community
More informationTAPPS State Football Results
Six-Man Division I Greenville Christian Denton Calvary Rockwall Heritage Dickinson Pine Drive Six-Man Division II Fredericksburg Heritage Fort Worth Glenview San Antonio Town East Dallas Covenant 11-Man:
More informationKaiser Permanente Traditional Plan Disclosure Form and Evidence of Coverage for the University of California
Kaiser Permanente Traditional Plan Disclosure Form and Evidence of Coverage for the University of California Kaiser Foundation Health Plan, Inc. Northern California and Southern California Regions Effective
More information2017 Nursing Facility Care Provider Manual
2017 Nursing Facility Care Provider Manual Physician, Health Care Professional, Facility and Ancillary Texas STAR+PLUS and UnitedHealthcare Connected of Texas (Medicare-Medicaid Plan) For STAR+PLUS, serving
More informationGirls RESIDENT Camp 2018 Camp Auxilium Registration Form (Please PRINT CLEARLY)
Girls RESIDENT Camp 2018 Camp Auxilium Registration Form (Please PRINT CLEARLY) Week 1 Sunday June 24 Saturday June 30 Week 2 Sunday July 1 Saturday July 7 Week 3 Sunday July 8 Saturday July 14 Week 4
More information