County Health Department Billing Codes. Effective January 1, 2017
|
|
- Annabel Owens
- 5 years ago
- Views:
Transcription
1 County Health Department Billing Codes Effective Adult Health Screening Codes CODE DESCRIPTION OF SERVICES Maximum Fee Adult Health Screening, new patient, age yrs Adult Health Screening, new patient, age yrs Adult Health Screening, new patient, age 65 yrs. and over Adult Health Screening, established patient, age yrs Adult Health Screening, established patient, age yrs Adult Health Screening, established patient, 64 yrs. and over Dental Services Codes CODE DESCRIPTION OF SERVICES Maximum Fee D0150 Comprehensive Oral Evaluation D0120 Periodic Oral Evaluation D5211 Upper Partial-Resin Base * D5212 Lower Partial-Resin Base * D5213 Maxillary Partial Denture * D5214 Mandibular Partial Denture * D5820 Interim Partial Denture *
2 Child Health Check-Up Codes Child Health Check-Up Screening new patient <1year Child Health Check-Up Screening new patient 1 through 4 years Child Health Check-Up Screening new patient 5 through 11 years Child Health Check-Up Screening new patient 12 through 17 years EP Child Health Check-Up Screening new patient 18 through 20 years Child Health Check-Up Screening established patient <1 year Child Health Check-Up Screening established patient 1 through 4 years Child Health Check-Up Screening established patient 5 through 11 years Child Health Check-Up Screening established patient 12 through 17 years EP Child Health Check-Up Screening established patient 18 through 20 years
3 Family Planning Codes FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Counseling Visit FP Family Planning Supply Visit HIV Counseling
4 Family Planning Waiver Codes FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning--Counseling Visit FP Family Planning--Supply Visit 99401, , 57454, HIV Counseling Colposcopy Surgeries (Billed with the Fee-For- Service Group Practitioner Provider Number) See Practitioner Fee Schedule
5 Primary Medical Care Codes CODE DESCRIPTION OF SERVICES Maximum Fee Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit H1000 Antepartum Care only Postpartum Care only Registered Nurse Services Code TD Services provided by registered nurses Exception: Bill adult health screenings, Child Health Check-Up screenings, family planning services, and antepartum services rendered by RNs with the applicable service procedure code rather than TD.
6 Immunization Codes Administration of Vaccines to Medicaid recipients from birth through 18 years $5.50 per vaccine dose *Requires prior authorization
County Health Department Billing Codes, Effective January 1, *Requires prior authorization. CODE DESCRIPTION OF SERVICES Maximum Fee
County Health Department Billing Codes, Effective January 1, 2018 *Requires prior authorization Adult Health Screening Codes CODE DESCRIPTION OF SERVICES Maximum Fee 99385 Adult Health Screening, new patient,
More informationWHAT DOES MEDICALLY NECESSARY MEAN?
WHAT DOES MEDICALLY NECESSARY MEAN? Your Primary Care Provider (PCP) will help you get the services you need that are medically necessary as defined below. Medically Necessary means appropriate and necessary
More informationALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-14 FAMILY PLANNING TABLE OF CONTENTS
Medicaid Chapter 560-X-14 ALABAMA MEDICAID AGENCY ADMINISTRATIVE CODE CHAPTER 560-X-14 FAMILY PLANNING TABLE OF CONTENTS 560-X-14-.01 560-X-14-.02 560-X-14-.03 560-X-14-.04 560-X-14-.05 560-X-14-.06 560-X-14-.07
More informationBenefits. Benefits Covered by UnitedHealthcare Community Plan
Benefits Covered by UnitedHealthcare Community Plan As a member of UnitedHealthcare Community Plan, you are covered for the following MO HealthNet Managed Care services. (Remember to always show your current
More informationEMERGENCY RULES SFY 2013 REIMBURSEMENT RATE REDUCTIONS
EMERGENCY RULES SFY 2013 REIMBURSEMENT RATE REDUCTIONS In order to avoid a budget deficit in the Medicaid Program, the Department of Health and Hospitals has published Emergency Rules which will: 1) reduce
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare As a Molina Healthcare member, you will continue to receive all medically-necessary Medicaid-covered services at no cost to you. The following list of covered services
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Florida FLORIDA (FL) Medicaid s EPSDT benefit provides comprehensive health care services to children under age 21,
More informationWhat Does Medicaid Do?
Page 1 of 5 Texas Department of Health What Does Medicaid Do? Table 4.1 Medicaid Eligibility in Texas: 1998 TANF-Related Categories (dollar amounts = maximum income limit for eligibility: asset cap: $2000)
More informationServices Covered by Molina Healthcare
Services Covered by Molina Healthcare Because you are covered by Medicaid, you pay nothing for covered services. As a Molina Healthcare member, you will continue to receive all medically necessary Medicaid-covered
More informationFEDERALLY QUALIFIED HEALTH CENTERS (FQHC)
FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) AND RURAL HEALTH CLINICS (RHC) CSHCN SERVICES PROGRAM PROVIDER MANUAL AUGUST 2018 CSHCN PROVIDER PROCEDURES MANUAL AUGUST 2018 FEDERALLY QUALIFIED HEALTH CENTERS
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Virginia VIRGINIA (VA) Medicaid s EPSDT benefit provides comprehensive health care services to children under age
More informationCMS-1500 Billing and Reimbursement. HP Provider Relations/October 2013
CMS-1500 Billing and Reimbursement HP Provider Relations/October 2013 Agenda Common Denials for CMS-1500 CMS-1500 Claims Billing Types of CMS-1500 Claims Paper Claim Billing Fee Schedule Crossover Claims
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Wisconsin WISCONSIN (WI) Medicaid s EPSDT benefit provides comprehensive health care services to children under age
More informationRFS-7-62 ATTACHMENT E INDIANA CARE SELECT PROGRAM DESCRIPTION AND COVERED BENEFITS
The following services are covered by the Indiana Care Select Program. Dual-eligible members, those members eligible for both IHCP and Medicare, will not receive any benefits under Indiana Care Select,
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Alaska ALASKA (AK) Medicaid s EPSDT benefit provides comprehensive health care services to children under age 21,
More informationCh MIDWIVES SERVICES 55 CHAPTER MIDWIVES SERVICES GENERAL PROVISIONS SCOPE OF BENEFITS
Ch. 1142 MIDWIVES SERVICES 55 CHAPTER 1142. MIDWIVES SERVICES Sec. 1142.1. Policy. 1142.2. Definitions. GENERAL PROVISIONS SCOPE OF BENEFITS 1142.21. Scope of benefits for the categorically needy. 1142.22.
More informationFlorida Medicaid. Evaluation and Management Services Coverage Policy
Florida Medicaid Evaluation and Management Services Coverage Policy Agency for Health Care Administration June 2016 Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1
More informationVolume 26 No. 05 July Providers of Behavioral Health Services For Action Health Maintenance Organizations For Information Only
Newsletter Published by the N.J. Dept. of Human, Div. of Medical Assistance & Health & the Division of and Volume 26 No. 05 July 2016 TO: SUBJECT: Providers of Behavioral Health For Action Health Maintenance
More informationMEDICAL ASSISTANCE BULLETIN
ISSUE DATE March 17, 2015 SUBJECT EFFECTIVE DATE March 2, 2015 MEDICAL ASSISTANCE BULLETIN NUMBER 99-15-03 BY Medical Assistance Program Fee Schedule Revisions Vincent D. Gordon, Deputy Secretary Office
More informationAHCA is Focused on Quality Inside & Out
Presentation to the Medical Care Advisory Committee September 23, 2014 AHCA is Focused on Quality Inside & Out Marie Donnelly Chief, Medicaid Quality Bureau MAKING MEDICAID MANAGED CARE WORK FOR FLORIDA
More informationMiddle Tennessee State University School of Nursing Undergraduate Program Clinical Policy
Middle Tennessee State University School of Nursing Undergraduate Program Clinical Policy The Middle Tennessee State University School of Nursing has one undergraduate degree seeking program. Tracks in
More informationProvider Manual Section 7.0 Benefit Summary and
Provider Manual Section 7.0 Benefit Summary and Exclusions Table of Contents 7.1 Benefit Summary 7.2 Services Covered Outside Passport Health Plan 7.3 Non-Covered Services Page 1 of 7 7.0 Benefit Summary
More informationModifiers 54 and 55 Split Surgical Care
Manual: Policy Title: Reimbursement Policy Modifiers 54 and 55 Split Surgical Care Section: Modifiers Subsection: None Date of Origin: 7/28/2004 Policy Number: RPM030 Last Updated: 7/3/2017 Last Reviewed:
More informationST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018
ST. MARY S HEALTHCARE SYSTEM, INC. Case # GA6476 BlueChoice HMO Benefit Summary Effective: January 1, 2018 All benefits are subject to the calendar year deductible, except those with in-network copayments,
More information3. Expand providers prescription capability to include alternatives such as cooking and physical activity classes.
Maternal and Child Health Assessment 2015 In 2015, the Minnesota Department of Health conducted a Maternal and Child Health Needs Assessment for the state of Minnesota. Under the direction of a community
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Indiana INDIANA (IN) Medicaid s EPSDT benefit provides comprehensive health care services to children under age 21,
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Oregon OREGON (OR) Medicaid s EPSDT benefit provides comprehensive health care services to children under age 21,
More informationand HEDIS Measures
1 SC Medicaid Managed Care Initiative and HEDIS Measures - 2009 Ana Lòpez De Fede, PhD Institute for Families in Society University of South Carolina Regina Young, RNC SC Department of Health and Human
More informationOur service area includes these counties in: Florida: Broward, Miami-Dade.
2018 SUMMARY OF BENEFITS Overview of your plan Preferred Medicare Assist (HMO SNP) H1045-012 Look inside to learn more about the health services and drug coverages the plan provides. Call Customer Service
More informationPAC Waiver. eqhealth Solutions PAC Waiver Authorization Process
PAC Waiver eqhealth Solutions PAC Waiver Authorization Process January 2015 1 Purpose of Presentation Upon completion of the webinar, participants will be able to: 1. Prepare and submit PAC Waiver Requests
More informationMMA Benefits at a Glance
MMA Benefits at a Glance You must get covered services by providers that are part of the Molina plan. You must also make sure that approval is obtained if needed. Ambulance Art Therapy Assistive Care Services
More informationFIDA. Care Management for ALL
Care Management for ALL In 2011, Governor Andrew M. Cuomo established a Medicaid Redesign Team (MRT), which initiated significant reforms to the state s Medicaid program. This included a critical initiative
More informationCovered Benefits Matrix for Children
Medicaid Managed Care The matrix below lists the available for children (under age 21) enrolled in the West Virginia Mountain Health Trust and s. Ambulance Ambulatory surgical center services Some services
More informationSubject: HIPAA-Mandated Elimination of Local Codes and Local Code Modifiers
P R O V I D E R B U L L E T I N B T 2 0 0 3 5 3 A U G U S T 1 5, 2 0 0 3 To: All Providers Subject: Local Code Modifiers Overview The Administrative Simplification Requirements of the Health Insurance
More informationWelcome Providers. Thursday, November 11, Page 1
Welcome Providers Thursday, November 11, 2010 Page 1 What is a 3 Share Plan? The 3 Share Plan is an affordable health plan for small businesses. Cost is shared among employers, their employees, and one
More informationCovered Benefits Rhody Health Partners ACA Adult Expansion
Covered s Rhody Health Partners ACA Adult Expansion Abortion Services Adult Day Services AIDS Medical and Non-Medical Case Management Alcohol and Substance Abuse Treatment Cosmetic Surgery Dental Care
More informationGuide to Provider Forms
Guide to Provider Forms ACTION Add a Provider to the group YOU WILL NEED TO COMPLETE THE SECTIONS IDENTIFIED BELOW ON THE PROVIDER INFORMATION UPDATE FORM (PIF) AND ANY ADDITIONAL DOCUMENTS LISTED. ALL
More informationChapter 12 Benefits and Covered Services
12 Benefits and Covered Services Health Choice Generations covers the same benefits covered under Original Medicare. Sometimes Medicare adds coverage for a new service during the year. Health Choice Generations
More informationOur service area includes Florida.
2018 SUMMARY OF BENEFITS Overview of your plan UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP) R7444-013 Look inside to learn more about the health services and drug coverages the plan provides.
More informationCovered Benefits Rhody Health Partners
Covered s Rhody Health Partners s Covered by UnitedHealthcare Community Plan As member of UnitedHealthcare Community Plan, you are covered for the following services. (Remember to always show your current
More informationTHIS INFORMATION IS NOT LEGAL ADVICE
Medicaid Medicaid is a federal/state program that gives certain groups of people a card that can be used to get free medical care, nursing home care, and prescription drugs at reduced prices. In general,
More informationMedicaid Fundamentals. John O Brien Senior Advisor SAMHSA
Medicaid Fundamentals John O Brien Senior Advisor SAMHSA Medicaid Fundamentals Provides medical benefits to groups of low-income people with no medical insurance or inadequate medical insurance. Federally
More informationContinuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State
January 2005 Report No. 05-03 Continuing Certain Medicaid Options Will Increase Costs, But Benefit Recipients and the State at a glance Florida provides Medicaid services to several optional groups of
More informationStanislaus County Medical Benefits EPO Option. In-Network Benefits (Stanislaus County Partners in Out-of-Network Benefits
Stanislaus County Medical EPO Option The following summary of benefits is a brief outline of the maximum amounts or special limits that may apply to benefits payable under the Plan. For a detailed description
More informationYes, for all plans, see or call for a list of network providers.
Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out
More informationCorrection Notice. Health Partners Medicare Special Plan
Correction Notice Special Plan Following are corrections that apply to both the English and Spanish versions of the 2015 for Special (HMO SNP): Original Information Page 1, under the heading SECTIONS IN
More informationEarly and Periodic Screening, Diagnosis and Treatment (EPSDT)
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) EPSDT and Bright Futures: Mississippi MISSISSIPPI (MS) Medicaid s EPSDT benefit provides comprehensive health care services to children under
More informationApril L. Lyons, MSN, RN Director of Clinical Operations Westside Family Healthcare
April L. Lyons, MSN, RN Director of Clinical Operations Westside Family Healthcare U.S. Incarceration Rates The incarceration rate of the United States is the highest in the world, at 716 per 100,00 of
More information1. What are some of the changes that have affected hospitals during the twentieth and. The emergence of health maintenance organizations
1. What are some of the changes that have affected hospitals during the twentieth and twenty-first centuries? Increases in hospital costs Medicare, Medicaid, and CHIP The emergence of health maintenance
More informationCovered Services List and Referrals and Prior Authorizations for MassHealth Members enrolled in Partners HealthCare Choice
Covered Services Covered Services List and s and Prior Authorizations for MassHealth Members enrolled in Partners HealthCare Choice This chart tells you two things: 1. the covered services and benefits
More informationClinical Services. Joy Jackson, MD. Director. April 21, 2017
Clinical Services Joy Jackson, MD Director April 21, 2017 Clinical Services Performed at DOH-Polk Core Public Health Services HIV/AIDS TB Immunizations childhood, adult, travel Family Planning STD Primary
More informationHMO BLUE. VALUE HMO HMO Blue New England - $500 deductible (New England Network) PPO 90 Blue Care Elect Preferred 90 Copay (National Network)
Important Questions (Massachusetts ) (New England ) (National ) What is the overall $0.00 Are there other s for specific? Is there an out of pocket limit on my expenses? What is not included in the out
More informationWyoming Medicaid- Provider Services Updates. Provider Workshops Summer 2017
Wyoming Medicaid- Provider Services Updates Provider Workshops Summer 2017 Facilities Update TITLE 25- Involuntary Hospitalization Effective August 1, 2016- Wyoming Medicaid began processing Title 25 claims
More informationAll Indiana Health Coverage Programs Providers. Package C Claim Submission and Coverage Information
P R O V I D E R B U L L E T I N B T 2 0 0 0 0 6 J A N U A R Y 2 0, 2 0 0 0 To: Subject: All Indiana Health Coverage Programs Providers Package C Claim Submission and Coverage Information Overview The purpose
More informationPlan Payment Requirements for Existing Providers of Care
Plan Requirements for Existing Providers of Care MyCare Ohio plans entered into contracts with CMS and Ohio Medicaid in February 2014 to achieve integrated delivery of medical, behavioral, and long term
More informationUnderstanding the New OMIG Audit Protocol for Assisted Living Programs
Understanding the New OMIG Audit Protocol for Assisted Living Programs NYSCAL Audio Conference January 23, 2014 David R. Ross, Esq. O Connell and Aronowitz, Attorneys at Law (518) 462-5601 dross@oalaw.com
More informationThe 5th Biennial Free Dental & Vision Clinic Exclusively for low income families who cannot afford care.
The 5th Biennial Free Dental & Vision Clinic Exclusively for low income families who cannot afford care. February 26th - 27th Services Dental examinations, extractions and oral surgery, and fillings Eye
More informationCOVERED SERVICES. GNOCHC services fall into two broad categories: core services and specialty services.
COVERED SERVICES The array of services described below is provided under the Greater New Orleans Community Health Connection (GNOCHC) Waiver and must be delivered on an outpatient basis. Requests for pre-admission
More informationDEFINITION OF AN ENCOUNTER A billable encounter is defined as a face- to-face visit with a physician, physician assistant, midwife or nurse practition
ILLINOIS DEPARTMENT OF HEALTHCARE & FAMILY SERVICES Federally Qualified Health Centers (FQHC) Rural Health Centers (RHC) 09-28-11 DEFINITION OF AN ENCOUNTER A billable encounter is defined as a face- to-face
More informationPublic Health Nursing Conference
Public Health Nursing Conference Wyoming Medicaid Covered Services & Billing Requirements August 7, 2013 Presenter: Amy Buxton, Field Representative Public Health Services Are services provided by a physician
More informationFIELD BY FIELD INSTRUCTIONS
TRANSPORTATION EMEDNY 000201 CLAIM FORM INSTRUCTIONS The following guide gives instructions for proper claim form completion when submitting claims for Transportation Services using the emedny 000201 claim
More informationGIC Employees/Retirees without Medicare
GIC Active Employees & Retirees without Medicare 7/1/18 GIC Employees/Retirees without Medicare HMO Summary of Benefits Chart This chart provides a summary of key services offered by your Health New England
More informationELIGIBILITY SERVICES DEPARTMENTAL GUIDELINES AND PROCEDURES TITLE: COMMUNICATION TO PATIENT REGARDING FINANCIAL ASSISTANCE DETERMINATION
Page Number: 1 of 10 TITLE: COMMUNICATION TO PATIENT REGARDING FINANCIAL ASSISTANCE DETERMINATION PURPOSE: To define the documents and information to be shared with the client regarding the assigned financial
More informationOn demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into your laptop or desktop.
CMS Final Rule Incentive Programs for Eligible Professionals 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into your laptop or desktop. Download
More informationArkansas Department of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR
Arkansas Department of Health and Human Services Division of Medical Services P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 Fax: 501-682-2480 TDD: 501-682-6789 & 1-877-708-8191 Internet Website:
More informationDivisional Policy Manual Revised: 6/92, 7/94, 5/95, 4/98, 2/01, 10/03, 1/04,
Written: September, 1991 Policy: Reviewed: 4/01 Divisional Policy Manual Revised: 6/92, 7/94, 5/95, 4/98, 2/01, 10/03, 1/04, Ambulatory Care Division 9/06, 5/09, 10/12 LSU Health Sciences Center-Shreveport,
More informationFlorida Medicaid Family Planning Waiver
Florida Medicaid Family Planning Waiver 1115 Research and Demonstration Waiver #11-W-00135/4 Public Notice Document April 1, 2014 Posted on Agency Website http://ahca.myflorida.com/medicaid/family_planning/extension.shtml
More informationNEW YORK STATE MEDICAID PROGRAM PHYSICIAN PROCEDURE CODES. SECTION 2 MEDICINE, DRUGS and DRUG ADMINISTRATION
NEW YORK STATE MEDICAID PROGRAM PHYSICIAN PROCEDURE CODES SECTION 2 MEDICINE, DRUGS and DRUG ADMINISTRATION Table of Contents GENERAL RULES AND INFORMATION... 3 MMIS MODIFIERS... 13 EVALUATION AND MANAGEMENT
More informationNEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE
NEW YORK STATE MEDICAID PROGRAM REHABILITATION SERVICES PROCEDURE CODES & FEE SCHEDULE Table of Contents General Rules and Information... 3 Occupational Therapist, Physical Therapist and Speech Language
More informationSchool Corporation Services
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE School Corporation Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 6 P U B L I S H E D : M A Y 3, 2 0 1 8 P O L I
More informationKY Medicaid Co-pays Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following:
This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant
More informationSASKATCHEWAN HEALTH BENEFITS (SK HB)
SASKATCHEWAN HEALTH BENEFITS (SK HB) Overview Updated: October 30, 2014 Eligibility If you make your home in Saskatchewan and you ordinarily live in the province at least six months a year, you are eligible
More informationATTACHMENT II EXHIBIT II-A MANAGED MEDICAL ASSISTANCE (MMA) PROGRAM
ATTACHMENT II EXHIBIT II-A MANAGED MEDICAL ASSISTANCE (MMA) PROGRAM Section I.Definitions and Acronyms The definitions and acronyms in Core Provisions Section I, Definitions and Acronyms apply to all MMA
More informationSubject: Eliminating Certain Medicaid Benefits for Medicaid Beneficiaries age 21 and older, and Medicaid Provider Fee Reductions
Bulletin Michigan Department of Community Health Bulletin: MSA 09-28 Distribution: All Providers Issued: June 1, 2009 Subject: Eliminating Certain Medicaid Benefits for Medicaid Beneficiaries age 21 and
More informationProposed Meaningful Use Content and Comment Period. What the American Recovery and Reinvestment Act Means to Medical Practices
Proposed Meaningful Use Content and Comment Period What the American Recovery and Reinvestment Act Means to Medical Practices Session Objectives Gain a basic understanding of CMS EHR Incentive Program.
More informationKaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION
Kaiser Foundation Health Plan, Inc. A NONPROFIT HEALTH PLAN - HAWAII REGION 2019 Summary of Important Changes for Contract Renewals for the Kaiser Permanente Group Plan (These changes are subject to regulatory
More informationKY Medicaid Co-pays. Acute admissions medical Per admission diagnoses $0 Acute health care related to. Per admission substance abuse and/or for
This is a list of current covered services and co-pays. Except for the Pharmacy Non-Preferred co-pay, co-pays do not apply to the following: Non-KCHIP children Children under 19 in foster care Pregnant
More informationAssistant Surgeon Policy
Assistant Surgeon Policy Policy Number Annual Approval Date 11/08/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS You are responsible for submission of accurate claims.
More informationFull Benefit Care
Full Care - 2018 FULL BENEFIT CARE This care option offers comprehensive cover and generous benefits to cover families and individuals who need access to unlimited hospitalisation at any private hospital.
More informationSubpart 1. Designation. A nursing home must designate a. Subp. 2. Duties. The medical director, in conjunction
Minnesota Rules, Table of Chapters Table of contents for Chapter 4658 4658.0700 MEDICAL DIRECTOR. Subpart 1. Designation. A nursing home must designate a physician to serve as medical director. Subp. 2.
More information2016 EPSDT. Program Evaluation. Our mission is to improve the health and quality of life of our members
2016 EPSDT Program Evaluation Our mission is to improve the health and quality of life of our members 2016 Early and Periodic Screening, Diagnosis, and Treatment Program Evaluation Program Title: Early
More informationOVERVIEW OF YOUR BENEFITS
OVERVIEW OF YOUR BENEFITS IMPORTANT PHONE NUMBERS Member Services Department (646) 473-9200 For answers to questions about your benefits or to be referred to another Benefit Fund department. Program for
More informationADMISSION PACKET. School of Nursing BSN - DNP Program
ADMISSION PACKET School of Nursing BSN - DNP Program The Doctor of Nursing Practice (DNP) program at Kentucky State University is a 72 credit hours (9 semesters) BSN-DNP online program with emphasis in
More informationAssistant Surgeon Policy
Policy Number 2017R5000J Annual Approval Date Assistant Surgeon Policy 11/09/2016 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS You are responsible for submission of accurate
More information1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS
1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS I HOSPITAL CARE This benefit is for the hospital s charge for the use of its facility only. Coverage for services rendered by doctors, labs,
More informationOffender Health Services Plan
EXHIBIT A TDCJ Contract No. 696-HS-14-15-A066 Correctional Managed Health Care Committee Offender Health Services Plan Adopted September 2003 (Reviewed August 2005) (Reviewed and Updated June 2007) (Reviewed
More informationOverview of eqsuite. 24/7 accessibility to submit review requests. A helpline module for Providers to submit queries.
Multispecialty 2017 Overview of eqsuite 24/7 accessibility to submit review requests Electronic submission and Provider Alerts A helpline module for Providers to submit queries. System access control for
More informationMedicaid Covered Services Not Provided by Managed Medical Assistance Plans
Medicaid Covered Services Not Provided by Managed Medical Assistance Plans This document outlines services not provided by MMA plans, but are available to Medicaid recipients through Medicaid fee-for-service.
More informationRYAN WHITE HIV/AIDS PROGRAM SERVICES Definitions for Eligible Services
RYAN WHITE HIV/AIDS PROGRAM SERVICES Definitions for Eligible Services (Last Updated: July 15, 2013) Ryan White HIV/AIDS Program funds are intended to support only the HIV-related needs of clients. All
More informationCOMPREHENSIVE QUALITY STRATEGY REPORT (CQS) 2017 Report Draft
COMPREHENSIVE QUALITY STRATEGY REPORT (CQS) 2017 Report Draft CQS Report--Purpose Florida Medicaid is required to furnish a written quality strategy to the federal Centers for Medicare and Medicaid Services
More informationAffordable Care
Affordable Care - 2018 AFFORDABLE CARE This care option offers generous comprehensive cover with unlimited hospitalisation at any private hospital. It also covers additional chronic conditions with specialised
More informationOF BENEFITS. Cigna-HealthSpring TotalCare (HMO SNP) H Cigna H3949_15_19921 Accepted
agesummary OF BENEFITS Cover erage Cigna-HealthSpring TotalCare (HMO SNP) H3949-009 2014 Cigna H3949_15_19921 Accepted SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS You have choices about how to get
More informationCOVERED SERVICES FOR NHP MASSHEALTH MEMBERS
COVERED SERVICES FOR NHP MASSHEALTH MEMBERS Neighborhood Health Plan Covered Services for MassHealth Standard & CommonHealth, Family Assistance, and CarePlus Issued and effective October 1, 2015 nhp.org/member
More informationClass Scholarship Application Deadline September 4, 2011
TranscenDance Studios Class Scholarship Application Deadline September 4, 2011 Section I - Personal Information Applicant Full Name: Age: Date of Birth: School Currently Attending: Grade (if applicable):
More informationPEDIATRIC DAY HEALTH CARE PROVIDER MANUAL
PEDIATRIC DAY HEALTH CARE PROVIDER MANUAL Chapter 45 of the Medicaid Services Manual Issued December 1, 2011 Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable
More informationCOMMUNITY CARE OF NORTH CAROLINA
COMMUNITY CARE OF NORTH CAROLINA A Member Handbook Table of Contents Choosing a Health Home 1 What are the benefits of a health home? 2 Facts About Medicare 3 How do I get medical care? 3 What services
More informationRecruitment & Financial Benefits of Health Professional Shortage Areas
Recruitment & Financial Benefits of Health Professional Shortage Areas Bobbi Buckner Bentz, MHA, MPH Primary Care Office Director Iowa Department of Public Health Presentation Goals What is a Health Professional
More informationProvider Information Texas Health Steps Requirements
Provider Information Texas Health Steps Requirements 2016 THSteps Background Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Federally mandated health care program of prevention, diagnosis
More informationMaryland Medicaid Program. Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 31, 2012
Maryland Medicaid Program Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 31, 2012 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance or MA. MA is a joint
More informationKaiser Permanente Group Plan 301 Benefit and Payment Chart
301 Kaiser Permanente Group Plan 301 Benefit and Payment Chart 10119 CITY AND COUNTY OF SAN FRANCISCO About this chart This benefit and payment chart: Is a summary of covered services and other benefits.
More information