Revised/Corrected January, Dear Provider:
|
|
- Francis Hudson
- 6 years ago
- Views:
Transcription
1 Revised/Crrected January, 2014 Dear Prvider: Thank yu fr participating in the Anthem HealthKeepers Medicare Advantage (MediBlue Dual Eligible HMO SNP) Plan prvider netwrk. The Anthem HealthKeepers Medicare Advantage (MediBlue Dual Eligible) Plan is a Medicare Advantage Special Needs Plan (SNP) available t beneficiaries wh are eligible fr bth Medicare and Medicaid benefits (dual eligible members) r wh are Qualified Medicare Beneficiaries. We prvide cverage fr health care services t Medicare beneficiaries wh are entitled t Part A and enrlled in Part B. ffers a Medicare Advantage Special Needs Plan (SNP) and Medicare Advantage Prescriptin Drug (MA-PD) Plan. All f ur plans include Medicare Part D prescriptin drug cverage, as well as supplemental benefits cvering ther health care services. Our Special Needs Plans (described belw) have additinal eligibility requirements. Virginia Cunties Where theanthem HealthKeepers Medicare Advantage (MediBlue Dual Eligible) DSNP Plan Is Offered We ffer Anthem HealthKeepers Medicare Advantage DSNP in the fllwing cunties: Amelia, Brunswick, Carline, Charles City, Chesapeake City, Clnial Heights City, Cumberland, Dinwiddie, Empria City, Essex, Franklin City, Fredericksburg City, Glucester, Greensville, Hamptn City, Hpewell City, Isle f Wright, James City, King and Queen, King Gerge, King William, Lancaster, Lunenburg, Mathews, Middlesex, New Kent, Newprt News City, Nrflk City, Nrthumberland, Nttway, Petersburg City, Pqusn City, Prtsmuth City, Prince Edward, Prince Gerge, Richmnd, Richmnd City, Suthamptn, Sptsylvania, Staffrd, Sufflk City, Surry, Sussex, Virginia Beach City, Westmreland, Williamsburg City and Yrk. is an independent licensee f the Blue Crss and Blue Shield Assciatin. ANTHEM is a registered trademark f Anthem Insurance Cmpanies, Inc. The Blue Crss and Blue Shield names and symbls are registered marks f the Blue Crss and Blue Shield Assciatin AVAPEC
2 2014 Anthem Healthkeepers Medicare Advantage (MediBlue Dual Eligible) DSNP Plan Benefits Highlights Benefit Details Vendr Rutine physical exams Persnal Emergency Respnse System Preventive dental cverage Cmprehensive physical exam with clinical review f bdy systems and apprpriate labratry services System and mnitring equipment nly; member must have a telephne landline Tw dental exams, tw cleanings and ne set f X-rays per year Yu may bill fr ne rutine annual visit per year (e.g., , ) with ICD 9 diagnsis cde V70.0. Critical Signals Technlgies (CST) Liberty Cmprehensive dental cverage $250 per quarter allwance Liberty Rutine visin cverage One rutine eye exam per year $100 annual allwance fr glasses r cntacts Blue View Rutine hearing services Over-The-Cunter (OTC) items Silver Sneakers fitness prgram Part D prescriptin drugs Transprtatin One rutine hearing exam per year and $1,000 annual allwance fr hearing aids Quarterly allwance fr certain OTC items. Benefit rlls frm quarter t quarter but nt year t year: $70 quarterly limit Access t a netwrk f fitness facilities Generic cverage in the Part D cverage gap: $0 fr Tier 1 and 2 drugs nly 24 ne-way trips per year. (12 ne-way trips fr preventive services nly) Lcal participating prviders DrugSurce Healthways (Silver Sneakers) ESI LgistiCare
3 2014 Anthem Healthkeepers Medicare Advantage (MediBlue Dual Eligible) DSNP Plan Benefits Highlights Benefit Details Vendr Telemnitring Cverage f in-hme equipment and telecmmunicatin technlgy t mnitr specific health cnditins. Telemnitring services supplement but d nt replace face-t-face physician visits. Critical Signals Technlgies (CST) Imprtant Cntact Infrmatin Quick Reference Infrmatin Prvider Services Dedicated Service Unit (DSU) Cntact the DSU at AT&T Relay Service Fr English call , fr Spanish call Ntificatin/ Precertificatin/Prir Authrizatin May be telephned, submitted nline r faxed: Telephne: Fax: Hme health, durable medical equipment, therapies and discharge planning: Cncurrent review clinical dcumentatin: Behaviral health utpatient services: Behaviral health inpatient services: Initial admissin ntificatins and all ther services: Data required fr cmplete ntificatin/precertificatin: Member ID number Name f referring prvider Name f individual referred t prvider
4 Quick Reference Infrmatin Number f visits/services Dates f service Diagnsis Current Prcedural Terminlgy (CPT) cde Clinical staff is available during nrmal business hurs frm 8:00 a.m. t 5:00 p.m. lcal time Clinical infrmatin is required fr precertificatin (The Precertificatin Request Frm is als available nline.) Claims Submissin: Claims Submissin: Electrnic Submit paper claims t: P.O. Bx Virginia Beach, VA Electrnic claims Payer ID: Clearinghuse Payer Number Phne Number Availity Capari Emden Fr help, call the Anthem HealthKeepers Electrnic Data Interchange Htline at Timely filing is gverned by the terms f the prvider agreement. Timely filing fr Virginia is 365 days frm the date f service. prvides an nline resurce designed t significantly reduce the time yur ffice spends n eligibility verificatin, claims status and precertificatin status at If yu are unable t access the Internet, yu may receive claims, eligibility and precertificatin status ver the telephne at any time by calling ur autmated Prvider Services number at the DSU tll free at
5 Quick Reference Infrmatin Administrative Cmplaints/Payment Disputes Medicare prvider appeals are determined by the liable party, nt by the initiatr. The time frame t review yur request will cmmence nce yur appeal is ruted t the apprpriate department. Please refer t the denial letter r Explanatin f Payment (EOP) issued t determine the crrect appeals prcess. Administrative cmplaints/payment disputes must be filed within 120 calendar days f the initial decisin. Send administrative cmplaints/payment disputes t: Payment Disputes P.O. Bx Virginia Beach, VA Medicare Member Appeals Medicare appeals are determined by the liable party, nt by the initiatr. Please refer t the denial letter r EOP issued t determine the crrect appeals prcess t fllw. All Medicare member liability appeals shuld be sent t: Medicare Cmplaints, Appeals and Grievances Department P.O. Bx Virginia Beach, VA Fax: A physician s signature is required n all appeals submitted n behalf f a member; therwise an Appintment f Representative frm (AOR) is required. In the event that failure t prvide the service is life- r limb-threatening r that waiting the standard appeal time frame wuld be harmful t the member, an expedited r fast appeal can be initiated by cntacting us in ne f the fllwing ways: Medicare Cmplaints, Appeals and Grievances Department P.O. Bx Virginia Beach, VA Fax:
6 Quick Reference Infrmatin Phne: Please indicate if yu are requesting an expedited appeal. Prvider Service Representatives Fr mre infrmatin, cntact Prvider Services at the DSU at r yur lcal Prvider Relatins representative. Fr mre infrmatin abut 2014 benefits and market-specific details, please refer t the prvider manual nline at Medicare Enrllment Prcess The Medicare Annual Enrllment Perid (AEP) begins Octber 15 and ends December 7 f each year. The Medicare Advantage Disenrllment Perid (MADP) begins January 1 and ends February 14 f each year. During the MADP, Medicare beneficiaries have the pprtunity t disenrll frm any Medicare Advantage plan and return t riginal Medicare and/r enrll in a standalne prescriptin drug plan (nt ffered by ). The Initial Cverage Electin Perid: When a persn first becmes eligible fr Medicare hspital insurance (Part A) and medical insurance (Part B), he r she has a seven-mnth perid t enrll in a Medicare Advantage plan. This usually happens arund the persn s 65th birthday. Special Electin Perid: The Centers fr Medicare & Medicaid Services (CMS) identifies several circumstances when a persn may change Medicare ptins utside f the annual r initial enrllment perids. Fr example, dual-eligible members can enrll in r disenrll frm a Medicare Advantage plan at any time thrughut the year. Special Needs Plan (SNP) enrllees may change Medicare Advantage plans at any time during the year with changes effective the first f the fllwing mnth, subject t CMS apprval. Cst Sharing Yu may nt cllect any additinal payment frm Anthem HealthKeepers members ther than thse cst-sharing amunts specified in the members plan Summary f Benefits. Fr dual-eligible members, yu may nly cllect amunts permitted by the state Medicaid prgram r federal law. Fr dual-eligible members, federal law requires yu t bill the state Medicaid agency fr cpayments r ther cst-sharing amunts.
7 T keep yu infrmed abut plan updates, we will send mnthly cmmunicatins highlighting tpics and resurces. If yu have questins, please call ur Dedicated Service Unit at We lk frward t wrking with yu. Sincerely,
health. Our focus Summary of Benefits Health Partners Medicare Special (HMO SNP)
Yur health. Our fcus. 2018 Summary f Benefits Health Partners Medicare Special (HMO SNP) 2018 Summary f Benefits Health Partners Medicare (H9207) Health Partners Medicare Special (HMO SNP) (plan 004) This
More informationSERVICES COVERED BY PHP FamilyCare
SERVICES COVERED BY PHP FamilyCare PHP FamilyCare cvers the same services that Medicaid des. Cverage is nt available unless the service is medically necessary. Cverage is als nt available unless the service
More informationWHAT IS CAL MEDICONNECT? Cal MediConnect is a health plan that combines all of the benefits you now get from Medicare and Medi-Cal into a single plan.
Last updated: 3/8/2016 5:25 PM DO YOU HAVE BOTH MEDICARE AND MEDI-CAL? Intrductin If s, yu may be eligible t jin a Cal MediCnnect health plan. WHAT IS CAL MEDICONNECT? Cal MediCnnect is a health plan that
More informationIHSS In Home Support Services
IHSS In Hme Supprt Services What is IHSS? The IHSS prgram is a statewide mandated prgram administered by each cunty under the directin f the Califrnia Department f Scial Services. It prvides thse with
More informationPatient Instructions for Home Medical Equipment
Patient Instructins fr Hme Medical Equipment In rder fr ABC Health Care t cmplete the request fr yur prescribed hme medical equipment, we will need the fllwing dcumentatin requirements cmpleted in full
More informationPatient Instructions for Home Medical Equipment
Patient Instructins fr Hme Medical Equipment In rder fr ABC Health Care t cmplete the request fr yur prescribed hme medical equipment, we will need the fllwing dcumentatin requirements cmpleted in full
More informationUse the Molina web portal for faster turnaround times Contact Provider Services for details
Mlina Healthcare f Puert Ric Prir Authrizatin/Pre-Service Review Guide Effective: 04/01/2015 Use the Mlina web prtal fr faster turnarund times Cntact Prvider Services fr details ***Referrals t Netwrk Specialists
More informationSecure Blue (PPO) 2016 Evidence of Coverage. January 1 December 31, 2016
Secure Blue (PPO) 2016 Evidence f Cverage January 1 December 31, 2016 Yur Medicare Health Benefits and Services Cverage as a Member f Secure Blue (PPO) This bklet gives yu the details abut yur Medicare
More informationTerminating the Provider- Patient Relationship. Provided by Coverys Risk Management
Terminating the Prvider- Patient Relatinship Prvided by Cverys Risk Management Terminating the Prvider-Patient Relatinship What s the Risk? An allegatin f abandnment may be brught against a prvider if
More informationObtain an official copy of your PN transcript to submit with this packet.
Advanced Placement Packet fr LPNs fr Spring 2018 Deadline fr packet submissin: 11/16/17 It is pssible t receive credit fr yur LPN experience and begin the RN prgram at Crning Cmmunity Cllege. Advanced
More informationOregon Registry. Infant Toddler Professional Credential. Overview. Oregon Center for Career Development in Childhood Care and Education
Oregn Registry Infant Tddler Prfessinal Credential Overview Oregn Center fr Career Develpment in Childhd Care and Educatin March 2011 Oregn Center fr Career Develpment in Childhd Care and Educatin SETTING
More informationSUMMARY OF BENEFITS. Illinois. Molina Dual Options Medicare-Medicaid Plan
SUMMARY OF BENEFITS Illinis 2015 Mlina Dual Optins Medicare-Medicaid Plan Member Services (877) 901-8181, TTY/TDD 711 Mnday - Friday, 8 a.m. - 8 p.m. lcal time H8046_15_16001_0001_MMPILSB Apprved H8046_15_16001_0001_MMPILSB
More informationDenver Public Schools. Financial Services. Financial Services Manual. Grants
Denver Public Schls Financial Services Financial Services Manual Grants Table f Cntents Grants... 3 Prcedures GRC Website... 3 Step by Step Guide... 4 Federal Grants... 7 Title I... 7 Title II... 8 Time
More informationResidential Mental Health Treatment for Children and Adolescents
Residential Mental Health Treatment fr Children and Adlescents Requirement: Frequency: Due Date: Chapter 394, F.S. Sectin 39.407, F.S. Fla. R. Juv. P. 8.350 Chapter 65E-9, F.A.C. Chapter 65E-10, F.A.C.
More informationMedical Assistant Program Western Technical College. Supplemental Information
Medical Assistant Prgram Western Technical Cllege Supplemental Infrmatin Curse Sequence and Delivery. This is a tw-term prgram. During the first term, the student cmpletes the basic r fundatinal curses.
More informationInstructions. Important Dates. Application Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Announced: July 15, 2013
Instructins Imprtant Dates Applicatin Deadline: May 15, 2013 at 5:00 p.m. Grant Awards Annunced: July 15, 2013 Prject Cmpletin: December 31, 2014 CONTACT: Lancaster Cunty Cnservancy Fritz Schreder PO Bx
More informationBulletin. Required Activity: Admission to Medicaid-Certified Nursing Facilities and 90-day Redetermination TOPIC PURPOSE CONTACT SIGNED
Bulletin NUMBER #17-25-06 DATE August 7, 2017 OF INTEREST TO Cunty Directrs Scial Services Supervisrs and Staff Tribal Health Directrs Lng Term Care Cnsultatin Cntacts Nursing Facility Prviders Hspital
More informationSeptember 26, Dear Chairman Tiberi:
September 26, 2017 United States Huse f Representatives Cmmittee n Ways & Means 1102 Lngwrth Huse Office Building Washingtn D.C. 20515 WMPrviderFeedback@mail.huse.gv Dear Chairman Tiberi: Thank yu fr the
More informationSmart Energy GB in Communities Fund Small grants. Grant Guidelines May 2016
Smart Energy GB in Cmmunities Fund Small grants Grant Guidelines May 2016 0 What can I d nw? Befre yu apply fr funding make sure yu have lked at the free resurces available. Yu can start using these immediately.
More information2017 Evidence Of Coverage
2017 Evidence Of Cverage January 1 December 31, 2017 Yur Medicare Health Benefits and Services and Prescriptin Drug Cverage as a Member f Gateway Health Medicare Assured Ruby SM (HMO SNP) This plan, Gateway
More informationOriginal Date: January 27, 2010 Reviewed/Last Modified Date: September 15, 2015
Hme and Cmmunity Care - Feedback Reprting Prcess: Cmplaints, Cmpliments and Inquiries Manual: Administratin Sectin: Risk and Safety Management Subsectin: Original Date: January 27, 2010 Reviewed/Last Mdified
More informationMedical Home. update. Western Montana Region- PCMH Implementation and the Varying HIT Components & Impacts. May 16, 2014
Medical Hme update Western Mntana Regin- PCMH Implementatin and the Varying HIT Cmpnents & Impacts May 16, 2014 Agenda Current Medical Hme Status- Prvidence WMT Applicatin- HIT determinants Wrkflw- Patient
More informationMedical Conditions Policy
Lxtn Preschl Centre Medical Cnditins Plicy Medical Cnditins Plicy NQS QA2 2.1.1 Each child s health needs are supprted. 2.1.4 Steps are taken t cntrl the spread f infectius diseases and t manage injuries
More informationApril 2, Jennifer Kent Director California Department of Health Care Services 1501 Capitol Avenue Sacramento, CA 95814
Jennifer Kent Directr Califrnia Department f Health Care Services 1501 Capitl Avenue Sacrament, CA 95814 Subject: Draft All Plan Letter 18-XXX - Medicaid Drug Rebate Prgram Via e-mail: Jennifer.Kent@dhcs.ca.gv
More informationPatient Portal Introduction and Overview
A health IT web slutin brught t yu by TSI Healthcare Patient Prtal Intrductin and Overview Cntrl Panel Audi Optins: This is a listen nly presentatin Audi by Phne Select Use Telephne Tl Dial the prvided
More informationAfter School Part Time 3-5 days per week. 1-2 days per week $234 $140
June 15, 2015 Dear Parents/Guardians: Welcme t the Ott Family YMCA Afterschl Prgram fr schl year 2015-2016. The fllwing frms must be filled ut and returned t the Ott Family YMCA befre yur child can attend
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE ACCESS TO A DESIGNATED LIVING OPTION IN CONTINUING CARE SCOPE Prvincial DOCUMENT # HCS-117 APPROVAL LEVEL Alberta Health Services Executive Leadership Team SPONSOR Vice President Prvince-Wide Clinical
More informationCMS Change Request User Guide. Required April 1, Consolo Services CMS Change Request 8358 User Guide P a g e 1
CMS Change Request 8358 User Guide Required April 1, 2014 Cnsl Services CMS Change Request 8358 User Guide P a g e 1 CMS Change Request 8358 Required April 1, 2014 User Guide Overview: CMS Change Request
More informationAccelerated Bachelor of Science in Nursing. Fall 2018 Application Packet
Accelerated Bachelr f Science in Nursing Fall 2018 Applicatin Packet WCU nursing faculty and staff welcme yur applicatin fr admissin t the Accelerated Bachelr f Science in Nursing (ABSN) Prgram. This applicatin
More informationLSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION
LSU HEALTH SHREVEPORT NOTICE OF PRIVACY PRACTICES FOR PROTECTED HEALTH INFORMATION THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More informationFinancial Support. Terms and Conditions and Guide for Further Education Students at Brooksby Melton College 2017/18
Financial Supprt Terms and Cnditins and Guide fr Further Educatin Students at Brksby Meltn Cllege 2017/18 Student Services Brksby Meltn Cllege Asfrdby Rad Meltn Mwbray Leicestershire LE13 0HJ Jan Barstn
More informationSTUDY: OUTPATIENT SURGERY MAGAZINE AGAIN RANKED BEST AMONG SURGERY FACILITY MANAGERS
NEWS NEWS STUDY: OUTPATIENT SURGERY MAGAZINE AGAIN RANKED BEST AMONG SURGERY FACILITY MANAGERS Malvern, PA Magazine cntinues t be the mst widely received, best-read and mst preferred publicatin amng leaders
More informationTABLE OF CONTENTS. Section 7: Member Eligibility... 35
1 TABLE OF CONTENTS Sectin 1: Intrductin... 1 A. Overview: Blue Crss Cmplete... 1 B. Hw t use this manual... 2 C. Other electrnic resurces fr prviders... 3 D. Prvider cmmunicatins... 4 E. Assistance in
More informationLoyola University Health System NURSING DEPARTMENT EDUCATION STIPEND GUIDELINES
Lyla University Health System NURSING DEPARTMENT EDUCATION STIPEND GUIDELINES Please fllw these guidelines when submitting an applicatin fr cnsideratin f funds frm the Nursing Department Educatin Stipend
More informationUCLan Careers: Our Statement of Service to UCLan Students and Graduates
UCLan Careers: Our Statement f Service t UCLan Students and Graduates Intrductin Our Statement f Service sets ut what yu are entitled t expect frm UCLan careers and what standard f prvisin yu shuld receive.
More informationFor purposes of this Security Agreement, the use of the terms you and your includes both the Oil and Gas Operator and the EFA when appropriate.
Oil and Gas Operatr and Electrnic Filing Administratr (EFA) Registratin and Security Agreement fr Oil and Gas Electrnic Filing Systems Oil and Gas Operatr (Primary Reprting Entity) Name f Oil and Gas Operatr:
More informationUSF GME - Moonlighting Privileges Request July1, 2018 June 30, 2019
USF GME - Mnlighting Privileges Request July1, 2018 June 30, 2019 Achieving the gals and bjectives f the educatinal prgram must be the highest prfessinal respnsibility f the huse fficer. Mnlighting is
More informationPLACEMENT POLICIES FOR WORK & TRAVEL AND TRAINEE/INTERN PROGRAMS
PLACEMENT POLICIES FOR WORK & TRAVEL AND TRAINEE/INTERN PROGRAMS TABLE OF CONTENTS Wrk & Travel Prgram Submissin Prcess 1 Placement Prcedures 2 Trainee/Intern Prgram Submissin Prcess 3 Placement Prcedures
More informationMIPS Improvement Activities Performance Category
MIPS Imprvement Activities Perfrmance Categry The Imprvement Activities cmpnent is ne f the fur Merit-Based Incentive Payment System (MIPS) perfrmance categries under which participating MIPS eligible
More informationBoston University. Advocate Applicant Information Packet Spring Tony Kushner
Bstn University The wrld is calling; heal the wrld and in the prcess heal yurself, find the human in yurself by finding the citizen, the activist, the her. Tny Kushner Advcate Applicant Infrmatin Packet
More informationOLTL Transition Plan CMS HCBS Regulations. Introduction
OLTL Transitin Plan CMS HCBS Regulatins Intrductin New Centers fr Medicare and Medicaid Services (CMS) rules utlined at 42 CFR 441.301(c)(4) require public cmment n any new 1915(c) waivers, waiver renewals
More informationOur Epic Project Frequently Asked Questions
Our Epic Prject Frequently Asked Questins What is EPIC? EPIC is a state-f-the art integrated infrmatin system that cmbines all available patient infrmatin in a single database t imprve all caregivers ability
More informationCOMMUNITY PHARMACY WARFARIN SERVICE Community Pharmacy Anti-coagulation Management (CPAM) Service
COMMUNITY PHARMACY WARFARIN SERVICE Cmmunity Pharmacy Anti-cagulatin Management (CPAM) Service Intrductin INFORMATION FOR GENERAL PRACTICE In cuntries such as the UK, Australia, Canada and USA anticagulant
More informationMEDI-CAL (MC051) ERA ENROLLMENT INSTRUCTIONS
MEDI-CAL (MC051) ERA ENROLLMENT INSTRUCTIONS WHICH FORM(S) SHOULD I DO? Electrnic Healthcare Claim Payment/Advice Receiver Agreement (ANSI ASC X12N 835-Transactin) WHERE SHOULD I SEND THE FORMS? Mail the
More informationQuincy University Grants Development & Management Guide
1 Quincy University Grants Develpment & Management Guide Intrductin The Office f University Advancement versees the grants prcess at Quincy University and is yur resurce fr seeking funding frm any external
More informationOutbreak Investigation Team Roles and Responsibilities
COMMUNICABLE DISEASE OUTBREAK MANUAL New Jersey s Public Health Respnse Outbreak Investigatin Team Rles and Respnsibilities BUILDING THE INVESTIGATION TEAM Befre an utbreak, identify key individuals wh
More informationSC Launch Grant Programs Qualifications and Processing Procedures Effective August 1, 2017
SC Launch Grant Prgrams Qualificatins and Prcessing Prcedures Effective August 1, 2017 SCRA s SC Launch Prgram supprts entrepreneurs, increases technlgy cmmercializatin, and fsters early-stage cmpany develpment
More informationEach Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.
Each Hme Instead Senir Care franchise ffice is independently wned and perated. 2010 Hme Instead, Inc. The nrmal aging prcess, which may invlve sensry lss, decline in memry, and slwer prcessing f infrmatin
More informationBuckeye Health Plan. Member Handbook. West and Northeast Regions TDD/TTY: BuckeyeHealthPlan.com
Buckeye Health Plan Member Handbk West and Nrtheast Regins 1-866-246-4358 TDD/TTY: 1-800-750-0750 BuckeyeHealthPlan.cm Table f Cntents NOTICE If yu have any prblems in reading r understanding this infrmatin
More informationTexas External Quality Review Administrative Interview 2018 PHYSICAL HEALTH FOR MEASUREMENT PERIOD 1/1/ /31/2017
Texas External Quality Review Administrative Interview 2018 PHYSICAL HEALTH FOR MEASUREMENT PERIOD 1/1/2017 12/31/2017 The infrmatin cntained in the Administrative Interview supprts the Texas External
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE MANAGEMENT OF PATIENT S OWN MEDICATIONS SCOPE Prvincial APPROVAL AUTHORITY Clinical Operatins Executive Cmmittee SPONSOR Prvincial Medicatin Management Cmmittee PARENT DOCUMENT TITLE, TYPE AND NUMBER
More informationCommunity Health Worker / Certified Recovery Specialist Training Application
APPLICANTS REQUIRED TO COMPLETE APPLICATION WITHOUT ASSISTANCE FROM OTHERS $35 Applicatin Fee is nn-refundable Applying des NOT guarantee admissin int training Date f Applicatin: First Name: Last Name:
More informationHealth Commerce System (HCS)
New Yrk State Department f Health Divisin f ACF/Assisted Living Surveillance New Administratr/EHP Prgram Crdinatr and/r Operatr Checklist and Infrmatinal Guide As a new Administratr/EHP Prgram Crdinatr
More informationPlease find below a progress report for the 2012/13 Action Plan followed by a new Action Plan for 2013/14, building on the success of this first plan.
INTEGRATED CARE PARTNERSHIP GROUP PATIENT PARTICIPATION Please find belw a prgress reprt fr the 2012/13 Actin Plan fllwed by a new Actin Plan fr 2013/14, building n the success f this first plan. The practice
More informationLOGISTICS SECTION CHIEF
Missin: Organize and direct the service and supprt activities needed t ensure the material needs fr the hspital s respnse t an incident are available when needed. Psitin Reprts t: Incident Cmmander Cmmand
More informationSlowing Ohio s Medicaid Per Capita Spending - Progress to Date
Slwing Ohi s Medicaid Per Capita Spending - Prgress t Date January 2017 Since the creatin f the Jint Medicaid Oversight Cmmittee (JMOC) in May 2014, with its fcus n lwering health care csts and imprving
More informationGrowing Enterprise ERDF GRANT FUNDING PROCEDURES
Grwing Enterprise ERDF GRANT FUNDING PROCEDURES Stage Actin By Actins Ensure that the business and prject meet the eligibility criteria. Pre-Applicatin Stage 1 Pre-Applicatin Stage 2 NBV Enquiry Hub /
More informationCommunity Development Small Grants Fund. Guidelines 2018
Cmmunity Develpment Small Grants Fund Guidelines 2018 This fund is pen t charitable nt-fr-prfit cmmunity welfare grups whse primary clientele cme frm within Palmerstn Nrth City Cuncil (PNCC) bundaries.
More informationGRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE
GRANT GUIDELINES FOR ORGANIZATIONS 2017 CYCLE SUBMISSION DEADLINE Thursday, March 30, 2017 at 5:00 PM GRANTS PROGRAM OVERVIEW CultureWrks missin is t drive a vibrant cmmunity by inspiring, enabling and
More informationResident Assistant Application
Resident Assistant Applicatin We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved n the Queens
More informationState of Florida Department of Children and Families
State f Flrida Department f Children and Families Rick Sctt Gvernr Mike Carrll Secretary Request fr Applicatins #11H20GN1 ADDENDUM #001 Criminal Justice Mental Health and Substance Abuse (CJMHSA) Reinvestment
More informationMedicaid EHR Incentive Program Eligible Professionals
Medicaid EHR Incentive Prgram Eligible Prfessinals Payment Year 1 Adpt, Implement, Upgrade New Hampshire Department f Health and Human Services Office f Medicaid Business and Plicy First Year Attestatin
More informationApplication. Community Health Excellence (CHE) Grant Program
Cmmunity Health Excellence (CHE) Grant Prgram 2017 2018 Applicatin A cmpleted applicatin must be submitted by July 30, 2017, and must include: A cmpleted Applicatin Cver Sheet and Narrative A cmpleted
More informationFinancial Officer 18 Applicant Inventory
Financial Officer 18 Applicant Inventry Frequently Asked Questins Why has an applicant inventry been created t fill Financial Officer 18 vacancies? The creatin f applicant inventries allws fr a mre cnsistent
More informationAPPLICATION FOR REGISTERED NURSING PROGRAM FALL 2017 (Filing deadline: February 10, 2017, 4:00 PM) PLEASE TYPE OR PRINT NEATLY
APPLICATION FOR REGISTERED NURSING PROGRAM FALL 2017 (Filing deadline: February 10, 2017, 4:00 PM) PLEASE TYPE OR PRINT NEATLY NOTE: N student may enrll in the Nursing Prgram unless he/she is admitted
More informationKey Points for Approving Officers Regarding Electronic Filing
Key Pints fr Apprving Officers Regarding Electrnic Filing The Land Title Act allws a subdivisin plan t be prepared and submitted t the Land Title Office electrnically. T assist Apprving Officers (AO) with
More informationABI Forum of the CT Community Nonprofit Alliance
Date: January 16, 2017 ABI Frum f the CT Cmmunity Nnprfit Alliance T: The Hnrable Representative Abercrmbie Frm: Julia Wilcx, Senir Public Plicy Specialist, CT Cmmunity Nnprfit Alliance (The Alliance)
More informationFLORIDA CHILD CARE DIRECTOR CREDENTIAL AND RENEWAL APPLICATION
FLORIDA CHILD CARE DIRECTOR CREDENTIAL RENEWAL APPLICATION RESOURCE PAGE A directr credential is required fr each licensed child care facility and Vluntary Pre-Kindergarten (VPK) Prgram. The directr credential
More informationState/City Specific Statutory Earned Sick Time Provision Policy for Store, Regional Office and DC Field Hourly Team Members
State/City Specific Statutry Earned Sick Time Prvisin Plicy fr Stre, Reginal Office and DC Field Hurly Team Members NOTE: If yu d nt wrk in a lcatin with a state r city specific Sick Pay law, please refer
More informationDepartment of Teacher Education Tentative Admission
Department f Teacher Educatin Tentative Admissin Requirements Must have cmpleted a minimum f 60 cllege credit hurs Minimum GPA f 2.75 Minimum cmpsite scre (r super scre) f 20 n the ACT Cmplete the Missuri
More informationYolo County Homeless and Poverty Action Coalition (HPAC)
Yl Cunty Hmeless and Pverty Actin Calitin (HPAC) FY 2017 Emergency Slutins Grant (ESG): Lcal Cmpetitin Timeline and Selectin Prcess Adpted June 9, 2017 Tentative Lcal Emergency Slutins Grant (ESG) Cmpetitin
More informationSAMPLE- Visit FirehouseSubsFoundation.org to apply online. Firehouse Subs Public Safety Foundation Grant Application
SAMPLE- Visit FirehuseSubsFundatin.rg t apply nline. Firehuse Subs Public Safety Fundatin Grant Applicatin 1 SAMPLE- Visit FirehuseSubsFundatin.rg t apply nline. Cngratulatins! Yur rganizatin has met Firehuse
More informationPCMH Development and NCQA Recognition Overview
PCMH Develpment and NCQA Recgnitin Overview May 2015 Overview f PCMH PCMH Features Outcmes f Medical Hme Benefits f PCMH Medical Hmes in SC NCQA Recgnitin Requirements Applicatin Prcess Overview Building
More informationGuide to Complete the Steps for Foreign-Trained Nurses to Obtain the Maryland Registered Nurse (RN) License
Guide t Cmplete the Steps fr Freign-Trained Nurses t Obtain the Maryland Registered Nurse (RN) License Welcme Back Center Suburban Maryland Mntgmery Cunty, Maryland Department f Health and Human Services
More informationSUMMER 2018 BACCALAUREATE TO ASSOCIATE DEGREE NURSE ACCELERATED PATHWAY APPLICATION
SUMMER 2018 BACCALAUREATE TO ASSOCIATE DEGREE NURSE ACCELERATED PATHWAY APPLICATION GENERAL INFMATION ABOUT OCCC HEALTH PROFESSIONS PROGRAMS Thank yu fr yur interest in ur health prfessins prgrams at Oklahma
More informationMONASH Special Developmental School
MONASH Special Develpmental Schl CRITICAL INCIDENT POLICY 1. RESPONDING TO A TRAUMATIC OR CRITICAL INCIDENT IN WHICH THE SCHOOL IS INVOLVED The schl may becme directly r indirectly invlved in a tragic
More informationCHAPTER 6 NETWORK REQUIREMENTS
CHAPTER 6 NETWORK REQUIREMENTS 6.1 CREDENTIALING AND RECREDENTIALING APPLICATION PROCESS Once it has been determined that credentialing is needed, requests can be emailed t the Health Chice Integrated
More informationPROVIDER MANUAL FOR NEW HAMPSHIRE MINUTEMAN HEALTH PLANS
PROVIDER MANUAL FOR NEW HAMPSHIRE MINUTEMAN HEALTH PLANS TABLE OF CONTENTS INTRODUCTION... 5 MINUTEMAN HEALTH PROVIDER QUICK REFERENCE... 7 Prvider Web Prtal at MinutemanHealthDirect.rg... 7 Member Eligibility
More informationCAMPBELL COUNTY GILLETTE, WYOMING
CAMPBELL COUNTY GILLETTE, WYOMING Cmmunicatins Technician I Cmmunicatins Technician II Cmmunicatins Technician III Class specificatins are intended t present a descriptive list f the range f duties perfrmed
More informationCritical Access Behavioral Health Agency (CABHA) UPDATE
Critical Access Behaviral Health Agency (CABHA) UPDATE Jint Legislative Oversight Cmmittee n MH/DD/SAS April 14, 2010 Michael Watsn Assistant Secretary fr MH/DD/SAS Develpment Department f Health and Human
More informationLearning Together From Safeguarding Adult Reviews
Learning Tgether Frm Safeguarding Adult Reviews Key findings and learning utcmes frm the recent Safeguarding Adult Review cncerning Adult A Adult A: The East Sussex Safeguarding Adults Bard (SAB) recently
More informationBROCKTON AREA MULTI-SERVICES, INC. ORGANIZATION AND POLICY GUIDE
Page 1 f 12 PURPOSE: T ensure cmpliance with 105 CMR 700.003 regulatins regarding strage and dispensing f medicatins in cmmunity residences; t ensure the health and safety f individuals served; and t prvide
More informationREGIONAL ARTS FUND Quick Response Grant
REGIONAL ARTS FUND Quick Respnse Grant Intrductin The Reginal Arts Fund is an Australian Gvernment prgram that supprt sustainable cultural develpment in reginal and remte cmmunities in Australia. The prgram
More informationVOLUNTEER SERVICES APPLICATION PACKAGE
VOLUNTEER SERVICES APPLICATION PACKAGE Applicatin Checklist Applicatin Frm Letter fr Criminal Recrd Check Vlunteer Reference Frm Infrmatin abut Immunizatins Infrmatin fr High Schl students VOLUNTEER SERVICES
More informationAGENCY NAME - Crisis Stabilization Services
AGENCY NAME - Crisis Stabilizatin Services Prgram Statement Crisis stabilizatin services are prvided t children and adlescents ages 6-17 that have symptms and current presentatin that requires skilled
More informationMedicaid Redesign Team Update and Next Steps
Redesign Medicaid in New Yrk State Medicaid Redesign Team Update and Next Steps Significant Prgress, Lts Still t Be Dne July 10, 2013 United Hspital Fund Jasn A. Helgersn, Medicaid Directr NYS Department
More informationSECTION A: Patient s name: Last: First: MI: Date of birth: Phone number: Medical Record Number:
Stanfrd Health Care (SHC) Stanfrd, CA 94305 Phne: 650-723-5721 HEALTH INFORMATION Page 1 f 6 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION When yu cmplete and sign this frm, health
More informationPRIVACY IMPACT ASSESSMENT (PIA) For the
PRIVACY IMPACT ASSESSMENT (PIA) Fr the Medical Bards Online Tracking System (MEDBOLTS) Department f the Navy - TMA DHP Funded System SECTION 1: IS A PIA REQUIRED? a. Will this Department f Defense (000)
More informationThe Fact-Finding portion of the Deep End System Assessment is a two-part process that helps lay the foundation for a deeper analysis:
Expanding JDAI t the Deep End System Assessment: Fact-Finding Prcess The Fact-Finding prtin f the Deep End System Assessment is a tw-part prcess that helps lay the fundatin fr a deeper analysis: a. Fact
More informationPosition Statement on Managed Care
Psitin Statement n Managed Care The Cuncil n Cathlic Healthcare f the Michigan Health and Hspital Assciatin I. Intrductin In this Psitin Statement, the Cuncil n Cathlic Healthcare f the Michigan Health
More informationAppendix B: Welcome Baby: Summary of Job Responsibilities for Key Personnel
Appendix B: Welcme Baby: Summary f Jb Respnsibilities fr Key Persnnel Prgram Management Staff Prject Directr (suggested qualificatins include: B.A. r Masters level in Public Health, Public Administratin
More informationDirections & Instructions for Filing an Application to the Radiologic Technology Program
2018 Radilgic Technlgy Applicatin Infrmatin Page 1 f 7 Ls Angeles City Cllege Radilgic Technlgy Prgram APPLICATION INFORMATION PACKET Applicatin Filing Perid is February 1, 2018 t March 31, 2018 Directins
More informationAdmission Agreement (SMOKE FREE CAMPUSES)
Chse One: PEC PTCC Prvidence Extended Care, and Prvidence Transitinal Care Center, cllectively (d.b.a) Prvidence Anchrage Lng Term Care Services hereinafter referred t as PEC/PTCC/PALTCS respectively.,
More informationResident Assistant Application
Resident Assistant Applicatin 2017-2018 We are excited that yu have decided t apply t be a Resident Assistant (RA). It is a unique pprtunity t wrk with diverse grups f students and be actively invlved
More informationDOCUMENT TITLE: Clarification of Bureau of Primary Health Care Credentialing and Privileging Policy outlined in Policy Information Notice
2002-22 DATE: July 10, 2002 DOCUMENT TITLE: Clarificatin f Bureau f Primary Health Care Credentialing and Privileging Plicy utlined in Plicy Infrmatin Ntice 2001-16 TO: Cmmunity Health Centers Migrant
More informationTelehealth, Telemedicine, And Telemonitoring
Care1st Health Plan Arizna, Inc. Easy Chice Health Plan Harmny Health Plan f Illinis Missuri Care Ohana Health Plan, a plan ffered by WellCare Health Insurance f Arizna OneCare (Care1st Health Plan Arizna,
More informationFrequently asked questions about health identifiers August 2015
Frequently asked questins abut health identifiers August 2015 1 P a g e Questins abut individual health identifiers What is an individual health identifier r IHI? An individual health identifier r IHI
More informationAdministration of First Aid Policy
Administratin f First Aid Plicy First aid can save, and lives prevent minr injuries r illnesses frm becming majr. The ability t prvide prmpt basic first aid is particularly imprtant in the cntact f an
More informationPractical Nursing Program Information (Revised March 2018)
Practical Nursing Prgram Infrmatin (Revised March 2018) Prgram Descriptin: The Practical Nursing (PN) Prgram prepares individuals t practice under the supervisin f a registered nurse, licensed physician
More informationWorkflow for Doctors
Wrkflw fr Dctrs Key features f Medpd s Nrth Lakes: Lcated in high traffic area, i.e. Westfield Shpping Centre Appintments are all made nline via a smartphne app, website r via the Medpd s kisk Supprt staff
More information