Reference Guide for Allowed Services by Provider Types

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Reference Guide for Allowed Services by Provider Types"

Transcription

1 Reference Guide for Allowed Services by Provider Types Version 6.0 For use in conjunction with MIHMS Enrollment Guides MIHMS_RG_0004_v6.0_ doc

2 Version History Version Date Author Action/Summary of Changes Status /09/2010 R.J. Roy C. Eisenhart Summary: 8/2010 to present. Updated for remainder of changes made during completion of DDI, changes from State meetings and State reviews. Review included a comprehensive 3-way comparison and validation of the policy matrices, the actual system configuration, and this document. Note: Various portions of this document have been previously published as appendices to the different Enrollment Guides. This version 3.0 is the first external publication of this document as a standalone reference. State approved 2/7/2011. Final /27/2011 R.J. Roy Included PT 89 and associated specialties under FAO- Rendering, correcting an omission /28/2011 R.J. Roy Finalized upon State acceptance. Draft Final MIHMS_RG_0004_v6.0_ doc

3 4.1 03/04/2014 K. Goldhammer CR26529: Added Provider Type: 40- Specialty: 130-Registered First Assistant under FAO with Rendering for Pay-To of 35- Hospital. Draft /07/2014 R.J. Roy QA and submission prep. Draft /09/2014 Darcy Casey Finalization per State acceptance dated 04/09/2014 Final /04/2015 K. Goldhammer CR42034 Add ST 130- Registered First Assist to PT 02-APRN Draft /03/2015 Crystal Hinton QA d for State submission Draft /12/2015 Crystal Hinton Finalization per State acceptance dated 03/12/2015 Final MIHMS_RG_0004_v6.0_ doc

4 Usage Information Documents published herein are furnished As Is. There are no expressed or implied warranties. The content of this document herein is subject to change without notice. HIPAA Notice The Maine Health PAS Online Portal is for the use of authorized users only. Users of the Maine Health PAS Online Portal may have access to protected and personally identifiable health data. As such, the Maine Health PAS Online Portal and its data are subject to the Privacy and security Regulations within the Health Insurance Portability and Accountability Act of 1996, Public Law (HIPAA). By accessing the Maine Health PAS Online Portal, all users agree to protect the privacy and security of the data constrained within as required by law. Access to information on this site is only allowed for necessary business reasons, and is restricted to those persons with a valid user name and password. MIHMS_RG_0004_v6.0_ doc

5 Reference Guide for Allowed Services by Provider Type Table of Contents 1. Introduction Mapping Tables... 2 Table of Figures Figure 2-1: Provider Groups... 3 Figure 2-2: FAO with Required Rendering Providers... 6 MIHMS_RG_0004_v6.0_ doc Page i

6 1. Introduction There are three Reference Guides for Providers to use during Enrollment or Re-Enrollment: Standard Abbreviations and Postal Information Valid Provider Type-Specialty Pairs Allowed Services by Provider Types In this you will find: Figure 2-1 for allowed rendering providers for provider groups, and Figure 2-2 for Facility, Agency, and Organization ( FAO ) providers that require rendering providers. You will need to refer to this information during enrollment and/or re-enrollment. Use this chart below to determine which table to use. Individual Providers and Facility, Agency, and Organization providers without renderings do not need this Reference Guide. Enrollment Type Reference Guide Table(s) to Use In this Guide Type 1 Individual Individual Providers This Guide does not apply Type 1 Individual as Group or FAO Provider Groups See Fig 2-1 FAO with Rendering FAO Non-Rendering See Fig 2-2 This Guide does not apply MIHMS_RG_0004_v6.0_ doc Page 1

7 Enrollment Type Type 2 Incorporated Individual Type 2 Organization as Group or FAO No NPI Type Atypical Provider Reference Guide Table(s) to Use In this Guide Provider Groups See Fig 2-1 Provider Groups See Fig 2-1 FAO with Rendering FAO Non-Rendering FAO Non-Rendering See Fig 2-2 This Guide does not apply This Guide does not apply 2. Mapping Tables The mapping tables begin on page 3. It is imperative that providers indicate the correct provider type and specialty (or specialties) on their applications. Failure to do so could result in incorrect claim reimbursement. To use this table, do the following: 1. Choose the correct table for the enrollment type for which you need more information. 2. In the Pay-To Providers column, find the provider type-specialty pair for which you need information about Allowed Rendering Providers. 3. In the corresponding Allowed Rendering Providers, locate the appropriate provider type-specialty pair for the provider you are enrolling. Note the following: When you go online, if only one specialty is shown in the Allowed Rendering Providers Specialty cell, the provider must designate this specialty on their enrollment application assuming they are credentialed for this specialty. MIHMS_RG_0004_v6.0_ doc Page 2

8 Maine Integrated Health Management Solution If more than one specialty is shown in the Allowed Rendering Providers Specialty cell, the provider must choose the specialty that is correct based on their credentials and enroll that specialty online. If the text No specialty required appears in the MIHMS Specialty cell, the provider should not designate a specialty on the enrollment application. 4. New provider types and specialties are added from time to time and occasionally provider types and/or specialties are also sometimes removed. If you don t see your provider type here and believe it should be here according to a ListServ message or reasonable expectation, you may go on the MIHMS Health PAS Online Portal to see if your provider type is displayed as available (and therefore, valid) in the system or you may call Provider Enrollment for more information. Figure 2-1: Provider Groups Pay-To Providers for Provider Groups Allowed Rendering Providers 03-Advanced Practice Registered Nursing Group 02-Advanced Practice Registered 014-Certified Clinical Specialist 015-Certified Midwife 017-Certified Registered Anesthetist 130-Registered First Assistant 49-Physical Therapist 63-Speech Language Pathologist 10-Audiology Group 09-Audiologist 007-Audiology 12-Behavioral Health Clinician Group 072-Licensed Marriage and Family Therapist 15-Chiropractic Group 16-Chiropractor 49-Physical Therapist 018-Chiropractor MIHMS_RG_0004_v6.0_ doc Page 3

9 Pay-To Providers for Provider Groups Allowed Rendering Providers 50-Physical Therapy Assistant 19-Dental Group 22-Dentist 028-Dentist-Endodontist 029-Dentist-General 030-Dentist-Oral Pathologist 031-Dentist-Orthodonture 032-Dentist-Pedodontist 034-Dentist-Prosthodontist 093-Oral/Maxillofacial Surgery 23-Denturist 037-Denturist 21-Dental Hygienist Group 20-Dental Hygienist 036-Dentistry 24-Denturist Group 23-Denturist 037-Denturist 44-Occupational/Physical Therapy Group 43-Occupational Therapy Assistant 49-Physical Therapist 50-Physical Therapy Assistant 54-Physicians Group 02-Advanced Practice Registered 014-Certified Clinical Specialist 015-Certified Midwife 017-Certified Registered Anesthetist 130-Registered First Assistant 09-Audiologist 007-Audiology 073-Licensed Master Social Worker 22-Dentist 029-Dentist-General MIHMS_RG_0004_v6.0_ doc Page 4

10 Pay-To Providers for Provider Groups Allowed Rendering Providers Registered 130-Registered First Assistant 54-Physicians Group 49-Physical Therapist Any Allowed Specialty 52-Physician Assistant 116-Physician Assistant 56-Podiatrist 118-Podiatry 63-Speech Language Pathologist 57-Podiatry Group 56-Podiatrist 118-Podiatry 64-Speech Language Pathology Group 63-Speech Language Pathologist 65-Speech Therapy Assistant 67-Speech/Hearing Therapist Group 09-Audiologist 63-Speech Language Pathologist 007-Audiology 65-Speech Therapy Assistant 72-Vision Services Provider Group 45-Optician 46-Optometrist 091-Optician 092-Optometry 090-Ophthamology MIHMS_RG_0004_v6.0_ doc Page 5

11 Figure 2-2: FAO with Required Rendering Providers Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 30-Family Planning Agency 086-Obstetrician and Gynecologist 02-Advanced Practice Registered 26-Dietician 52-Physician Assistant 35-Hospital 062-Hospital Based Professionals 02-Advanced Practice Registered 09-Audiologist 20-Dental Hygienist 015-Certified Midwife 000-No Specialty Required 046-Family Practice 053-General Practice 057-Gynecology 067-Internal Medicine 086-Obstetrician and Gynecologist 087-Obstetrics 116-Physician Assistant 014-Certified Clinical Specialist 015-Certified Midwife 017-Certified Registered Anesthetist 130-Registered First Assistant 007-Audiology 013-Certified Alcohol and Drug Counselor 069-Licensed Alcohol and Drug Counselor 072-Licensed Marriage and Family Therapist 073-Licensed Master Social Worker 036-Dentistry MIHMS_RG_0004_v6.0_ doc Page 6

12 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 35-Hospital 062-Hospital Based Professionals 22-Dentist 028-Dentist-Endodontist 029-Dentist-General 030-Dentist-Oral Pathologist 031-Dentist-Orthodonture 032-Dentist-Pedodontist 033-Dentist-Periodontist 034-Dentist-Prosthodontist 093-Oral / Maxillofacial Surgery 23-Denturist 037-Denturist 26-Dietician 000-No Specialty Required Registered First Assistant Any Allowed Specialty 52-Physician Assistant 116-Physician Assistant 56-Podiatrist 118-Podiatry 36-Indian Health Services Provider 064-IHS 02-Advanced Practice Registered 09-Audiologist 16-Chiropractor 20-Dental Hygienist 014-Certified Clinical Specialist 015-Certified Midwife 017-Certified Registered Anesthetist 130-Registered First Assistant 007-Audiology 069-Licensed Alcohol and Drug Counselor 073-Licensed Master Social Worker 018-Chiropractor 036-Dentistry MIHMS_RG_0004_v6.0_ doc Page 7

13 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 22-Dentist 029-Dentist-General 23-Denturist 037-Denturist 36-Indian Health Services Provider 064-IHS 26-Dietician No Specialty Required 129-Registered 130-Registered First Assistant 43-Occupational Therapy Assistant 45-Optician 091-Optician 46-Optometrist 092-Optometry 49-Physical Therapist 50-Physical Therapy Assistant Any Allowed Specialty 52-Physician Assistant 116-Physician Assistant 56-Podiatrist 118-Podiatry 63-Speech Language Pathologist 65-Speech Therapy Assistant 38-Mental Health Clinic 008-Behavioral Health Services 02-Advanced Practice Registered 014-Certified Clinical Specialist 072-Licensed Marriage and Family Therapist 073-Licensed Master Social Worker 122-Psychological Examiner MIHMS_RG_0004_v6.0_ doc Page 8

14 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers Registered 38-Mental Health Clinic 008-Behavioral Health Services 52-Physician Assistant Any Allowed Specialty 116-Physician Assistant 020-Community Support Services 02-Advanced Practice Registered 014-Certified Clinical Specialist 073-Licensed Master Social Worker Registered Any Allowed Specialty 52-Physician Assistant 116-Physician Assistant 39-Non-Hospital Affiliated Clinic 065-Infectious Diseases 02-Advanced Practice Registered Physician Assistant 53-School Health Center 000-No Specialty Required 02-Advanced Practice Registered 129-Registered Any Allowed Specialty 116-Physician Assistant 015-Certified Midwife MIHMS_RG_0004_v6.0_ doc Page 9

15 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 069-Licensed Alcohol and Drug Counselor Registered Any Allowed Specialty 53-School Health Center 000-No Specialty Required 52-Physician Assistant 116-Physician Assistant 61-Psychiatric Hospital 062-Hospital Based Professionals 02-Advanced Practice Registered 09-Audiologist 20-Dental Hygienist 22-Dentist 23-Denturist 26-Dietician 014-Certified Clinical Specialist 015-Certified Midwife 017-Certified Registered Anesthetist 007-Audiology 069-Licensed Alcohol and Drug Counselor 072-Licensed Marriage and Family Therapist 073-Licensed Master Social Worker 036-Dentistry 028-Dentist-Endodontist 029-Dentist-General 030-Dentist-Oral Pathologist 031-Dentist-Orthodonture 032-Dentist-Pedodontist 033-Dentist-Periodontist 034-Dentist-Prosthodontist 093-Oral / Maxillofacial Surgery 037-Denturist 000-No Specialty Required MIHMS_RG_0004_v6.0_ doc Page 10

16 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 49-Physical Therapist Any Allowed Specialty 52-Physician Assistant 116-Physician Assistant 61-Psychiatric Hospital 062-Hospital Based Professionals 56-Podiatrist 118-Podiatry 68-State Agency 035-Public Health 20-Dental Hygienist 036-Dentistry 69-Substance Abuse Provider 001-Addiction Services 02-Advanced Practice Registered Certified Clinical Specialist 013-Certified Alcohol and Drug Counselor 069-Licensed Alcohol and Drug Counselor 073-Licensed Master Social Worker 129-Registered 001-Addiction Services 87-Public School 164-Therapy Services 09-Audiologist 007-Audiology 43-Occupational Therapy Assistant 49-Physical Therapist 072-Licensed Marriage and Family Therapist 122-Psychological Examiner MIHMS_RG_0004_v6.0_ doc Page 11

17 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 50-Physical Therapy Assistant 63-Speech Language Pathologist 65-Speech Therapy Assistant 88-Special Purpose Private School 164-Therapy Services 09-Audiologist 007-Audiology 43-Occupational Therapy Assistant 49-Physical Therapist 50-Physical Therapy Assistant 63-Speech Language Pathologist 65-Speech Therapy Assistant 072-Licensed Marriage and Family Therapist 122-Psychological Examiner 89-Intermediate Education Unit 164-Therapy Services 09-Audiologist 007-Audiology 43-Occupational Therapy Assistant 49-Physical Therapist 50-Physical Therapy Assistant 072-Licensed Marriage and Family Therapist 122-Psychological Examiner MIHMS_RG_0004_v6.0_ doc Page 12

18 Pay-To Providers for FAOs with Required Rendering Providers Allowed Servicing Providers 63-Speech Language Pathologist 65-Speech Therapy Assistant MIHMS_RG_0004_v6.0_ doc Page 13

AN ACT RELATING TO HEALTH INSURANCE; AMENDING A SECTION OF THE NEW MEXICO INSURANCE CODE TO PROVIDE FOR FREEDOM OF CHOICE OF

AN ACT RELATING TO HEALTH INSURANCE; AMENDING A SECTION OF THE NEW MEXICO INSURANCE CODE TO PROVIDE FOR FREEDOM OF CHOICE OF AN ACT RELATING TO HEALTH INSURANCE; AMENDING A SECTION OF THE NEW MEXICO INSURANCE CODE TO PROVIDE FOR FREEDOM OF CHOICE OF HOSPITAL AND PRACTITIONER TO INCLUDE LICENSED PROFESSIONAL MENTAL HEALTH COUNSELORS

More information

DC Health Professional Licensing Fees

DC Health Professional Licensing Fees Profession Description of Service Fees Acupuncturist Application Fee (original, temporary, or reinstatement) 85 Acupuncturist License Fee 145 Acupuncturist Re-Examination 119 Acupuncturist Paid Inactive

More information

CHAPTER 600 PROVIDER QUALIFICATIONS AND PROVIDER REQUIREMENTS 600 CHAPTER OVERVIEW... 600-1 610 AHCCCS PROVIDER QUALIFICATIONS...

CHAPTER 600 PROVIDER QUALIFICATIONS AND PROVIDER REQUIREMENTS 600 CHAPTER OVERVIEW... 600-1 610 AHCCCS PROVIDER QUALIFICATIONS... 600 CHAPTER OVERVIEW... 600-1 REFERENCES... 600-2 610 AHCCCS PROVIDER QUALIFICATIONS... 610-1 EXHIBIT 610-1 AHCCCS PROVIDER TYPES 620 AHCCCS FFS MINIMUM NETWORK REQUIREMENTS... 620-1 630 MEDICAL RECORD

More information

ForwardHealth-Required Taxonomy Codes

ForwardHealth-Required Taxonomy Codes ForwardHealth-Required s Provider Type Ambulance Air Ambulance 3416A0800X Air Transport Ambulance Land Ambulance 3416L0300X Land Transport Federally Qualified Health Ambulance Water Ambulance 3416S0300X

More information

CYE09 RFP Minimum Network Standards Excel Spreadsheet Instructions

CYE09 RFP Minimum Network Standards Excel Spreadsheet Instructions TABLE of CONTENTS CYE09 RFP Minimum Network Standards Excel Spreadsheet Instructions Definition of Terms... Introduction/Overview... Attachment 1 Provider Types Requiring NPI.... Attachment 2 Service Provider

More information

PROVIDER TYPE CODE DESCRIPTION OF PROVIDER TYPE SPECIALITY CODE DESCRIPTION OF PROVIDER SPECIALITY 01 INPATIENT FACILITY 010 ACUTE CARE HOSPITAL 01

PROVIDER TYPE CODE DESCRIPTION OF PROVIDER TYPE SPECIALITY CODE DESCRIPTION OF PROVIDER SPECIALITY 01 INPATIENT FACILITY 010 ACUTE CARE HOSPITAL 01 PROVIDER TYPE CODE DESCRIPTION OF PROVIDER TYPE SPECIALITY CODE DESCRIPTION OF PROVIDER SPECIALITY 01 INPATIENT FACILITY 010 ACUTE CARE HOSPITAL 01 011 PRIVATE PSYCHIATRIC HOSPITAL 01 012 INPATIENT MEDICAL

More information

HEALTH PROFESSIONS: CONSEQUENCES OF DUI PROSECUTION & CONVICTION

HEALTH PROFESSIONS: CONSEQUENCES OF DUI PROSECUTION & CONVICTION Health Professionals: Certified or licensed pursuant to chapter 7, 8, 11, 13, 14, 15, 15.1, 16, 17, 18, 19, 19.1, 21, 25, 28, 29, 33, 34, 35, 39, 41 or 42 of this & title 36, chapter 17 1 Acupuncturist

More information

Oregon Health Care Regulatory Agencies

Oregon Health Care Regulatory Agencies Citizen s Guide to Oregon Health Care Regulatory Agencies Prepared by: Oregon State Board of Nursing This is a guide to Oregon health care regulatory agencies. The boards and agencies listed here protect

More information

Medicaid Management Information Systems Maine Integrated Health Management Solution Health PAS Online: Public Portal User Guide

Medicaid Management Information Systems Maine Integrated Health Management Solution Health PAS Online: Public Portal User Guide Medicaid Management Information Systems Maine Integrated Health Management Solution Health PAS Online: Public Portal User Guide Date of Publication: 02/25/2014 Document Number: UM00039 Version: 3.0 Revision

More information

Mississippi Medicaid Enrollment Application (Ordering/Referring/Prescribing Provider)

Mississippi Medicaid Enrollment Application (Ordering/Referring/Prescribing Provider) This application is for the sole purpose of ordering/referring/prescribing items and services for MS Medicaid beneficiaries. This type of enrollment does not allow MS Medicaid to reimburse the applicant/provider

More information

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-199 HOUSE BILL 714

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-199 HOUSE BILL 714 GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 1999 SESSION LAW 1999-199 HOUSE BILL 714 AN ACT TO PROVIDE FOR DIRECT PAYMENT OF CERTIFIED SUBSTANCE ABUSE PROFESSIONALS UNDER HEALTH INSURANCE POLICIES AND PLANS.

More information

License Number for emedny - How to send a License Number as a Provider Identifier?

License Number for emedny - How to send a License Number as a Provider Identifier? License Number for - How to send a License Number as a Provider Identifier? This requirement applies to trading partners sending the ASC X12N 270, 278, and 837 transactions, and NCPDP 5.1 Telecommunications

More information

TYPE AND SPECIALTY LIST AND DOCUMENTATION REQUIREMENTS FOR PROVIDER PARTICIPATION AGREEMENTS

TYPE AND SPECIALTY LIST AND DOCUMENTATION REQUIREMENTS FOR PROVIDER PARTICIPATION AGREEMENTS New Mexico Medicaid Project 1720-A Randolph Road SE Albuquerque, NM 87106 505-246-9988 505-246-8485 (fax) TYPE AND SPECIALTY LIST AND DOCUMENTATION REQUIREMENTS FOR PROVIDER PARTICIPATION AGREEMENTS Please

More information

Military Crosswalk - Texas State Auditor's Office

Military Crosswalk - Texas State Auditor's Office Occupational Category - Medical and Health Job Classification Series - Dietetic 4001 - Dietetic I 4002 - Dietetic II 4001 - Dietetic I 4002 - Dietetic II 68M Nutrition Care No military equivalent HM Hospital

More information

Mental and Behavioral Health Workforce in Nevada

Mental and Behavioral Health Workforce in Nevada Mental and Behavioral Health Workforce in Nevada Tabor Griswold, PhD Health Services Research Analyst Office of Statewide Initiatives University of Nevada School of Medicine January 7, 2015 Section 1:

More information

Technical Appendices. California s Health Workforce Needs: Training Allied Workers. Contents. Shannon McConville, Sarah Bohn, and Laurel Beck

Technical Appendices. California s Health Workforce Needs: Training Allied Workers. Contents. Shannon McConville, Sarah Bohn, and Laurel Beck California s Health Workforce Needs: Training Allied Workers Technical Appendices Contents Appendix A: Health Workforce Occupational Groupings and Projections Appendix B: Health Program Groupings at California

More information

4123-6-02.2 Provider access to the HPP - provider credentialing criteria.

4123-6-02.2 Provider access to the HPP - provider credentialing criteria. 4123-6-02.2 Provider access to the HPP - provider credentialing criteria. (A) The bureau shall establish minimum credentialing criteria for provider certification. Providers must meet all licensing, certification,

More information

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK. This table reflects Medicare Specialty Codes as of April 1, 2003.

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK. This table reflects Medicare Specialty Codes as of April 1, 2003. CMS SPECIALTY CODE CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This table reflects Medicare Specialty Codes as of April 1, 2003. This table reflects Healthcare Provider Taxonomy Codes (HPTC)

More information

HOUSE OF REPRESENTATIVES FINAL BILL ANALYSIS SUMMARY ANALYSIS

HOUSE OF REPRESENTATIVES FINAL BILL ANALYSIS SUMMARY ANALYSIS HOUSE OF REPRESENTATIVES FINAL BILL ANALYSIS BILL #: CS/HB 639 FINAL HOUSE FLOOR ACTION: SPONSOR(S): Health Quality Subcommittee; Harrell and others 117 Y s 0 N s COMPANION BILLS: (SB 604) GOVERNOR S ACTION:

More information

Circular (15 /2014) Registration Department in Qatar Council for Healthcare Practitioners presents to you its compliments

Circular (15 /2014) Registration Department in Qatar Council for Healthcare Practitioners presents to you its compliments From Circular (15 /2014) Dr.Jamal Rashid Al-Khanji A/ Chief Executive Officer (CEO), Qatar Council for Healthcare Practitioners (QCHP) To All Healthcare Practitioners in the State of Qatar All Healthcare

More information

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis)

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach a

More information

Taxonomy Code Mapping Professional Providers

Taxonomy Code Mapping Professional Providers Mapping Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Practice Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and

More information

GENERAL ASSEMBLY OF NORTH CAROLINA 1993 SESSION CHAPTER 464 SENATE BILL 954

GENERAL ASSEMBLY OF NORTH CAROLINA 1993 SESSION CHAPTER 464 SENATE BILL 954 GENERAL ASSEMBLY OF NORTH CAROLINA 1993 SESSION CHAPTER 464 SENATE BILL 954 AN ACT TO PERMIT THE DIRECT PAYMENT OF CERTIFIED SOCIAL WORKERS AND CERTAIN ADVANCED PRACTICE REGISTERED NURSES UNDER HEALTH

More information

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK

CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK CMS SPECIALTY CODES/HEALTHCARE PROVIDER TAXONOMY CROSSWALK This document walks the CMS Medicare specialty codes to the taxonomy codes currently maintained by the Washington Publishing Company as mandated

More information

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis)

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach a

More information

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table

Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Infant & Toddler Connections of Virginia DRAFT Provider Qualifications 1 Table Audiologist Master s degree plus state licensure Specialist Associate Assistant Screening Audiology, Certified Therapeutic

More information

Taxonomy Code Mapping Professional Providers

Taxonomy Code Mapping Professional Providers Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and Immunology 207K00000X

More information

Specified Medical Professions for Professional Liability Application

Specified Medical Professions for Professional Liability Application APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach a separate sheet. 2. Application must be signed and dated by owner, partner or officer. 3. Please do not

More information

Provider Network Adequacy Instructions

Provider Network Adequacy Instructions Provider Network Adequacy Instructions Table of Contents Regulatory Overview...1 Creating an Account under the MDH Provider Network Adequacy (PNA) System...2 Provider Network Adequacy Recertification Requirements...2

More information

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Current Approved State Plan Language Limitations on Attachment 3.1-A Page 9 Type of Service Covered for Medi-Cal eligibles under 21 years

More information

Session 14. Act Now-Review of the 2015 Telemedicine Law. 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM

Session 14. Act Now-Review of the 2015 Telemedicine Law. 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM Session 14 Act Now-Review of the 2015 Telemedicine Law 2016 Minnesota e-health Summit June 7, 2016, 2:15 PM 1 Speakers Moderator: Mark Sonneborn Presenter: Maureen Ideker RN, BSN, MBA, Great Plains Telehealth

More information

Careers in. Healthcare. North Country Planning Region. Your gateway to New Hampshire workforce and career information

Careers in. Healthcare. North Country Planning Region. Your gateway to New Hampshire workforce and career information Careers in Healthcare North Country Planning Region Your gateway to New Hampshire workforce and career information State of New Hampshire John H. Lynch, Governor New Hampshire Employment Security Tara

More information

Provider Qualifications & Requirements

Provider Qualifications & Requirements Nth Carolina Medicaid Management As of May 22, 2012 Infmation System (MMIS) Provider Type In-State Bder Out-of-State** Adult Care Home Ambulance Service Licensed by NC DHSR as a Family Care Home Home f

More information

NEW MEXICO FINANCIAL INCENTIVES FOR HEALTH PROFESSIONALS

NEW MEXICO FINANCIAL INCENTIVES FOR HEALTH PROFESSIONALS NEW MEXICO FINANCIAL INCENTIVES FOR HEALTH PROFESSIONALS ALL S NOTED BELOW ARE COMPETITIVE WITH NO AWARD GUARANTEE ALLIED HEALTH STUDENT LOAN FOR SERVICE who are accepted by or enrolled at an accredited

More information

8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1 NMAC - N, 11-1-14]

8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1 NMAC - N, 11-1-14] TITLE 8 SOCIAL SERVICES CHAPTER 310 HEALTH CARE PROFESSIONAL SERVICES PART 12 INDIAN HEALTH SERVICE AND TRIBAL 638 FACILITIES 8.310.12.1 ISSUING AGENCY: New Mexico Human Services Department (HSD). [8.310.12.1

More information

1. To be eligible for Non-Physician Health Care Provider Board Certified Pay (NPBCP), a Nurse Corps officer must:

1. To be eligible for Non-Physician Health Care Provider Board Certified Pay (NPBCP), a Nurse Corps officer must: 1. Chapter 4 of OPNAV 7220.17 is amended by replacing the current section 430 with the following: 430. DEFINITION AND ELIGIBILITY 1. To be eligible for Non-Physician Health Care Provider Board Certified

More information

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION PROFESSION PAGE PROFESSION PAGE Barber 04 Facialist 04 Cosmetologist 04 Nail Technician 04

DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION PROFESSION PAGE PROFESSION PAGE Barber 04 Facialist 04 Cosmetologist 04 Nail Technician 04 Preface Persons working in the healthcare industry must be knowledgeable about difficult and complex HIV/AIDS issues. It is vital that they have access to up-to-date information on legal and patient care

More information

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE Claims Made Basis APPLICANT S INSTRUCTIONS: 1. Answer ALL questions. If the answer requires detail, please attach a separate

More information

Health Care Employment Projections:

Health Care Employment Projections: Health Care Employment Projections: An Analysis of Bureau of Labor Statistics Settings and Occupational Projections, 2012-2022 May 2014 The Center for Health Care Workforce Studies School of Public Health,

More information

AMA founded in 1847. U.S. Medical care highly regulated. Medical Doctor? Scope of Practice in the United States

AMA founded in 1847. U.S. Medical care highly regulated. Medical Doctor? Scope of Practice in the United States Scope of Practice in the United States AMA founded in 1847 World Health Professions Conference on Regulation Michael D. Maves, MD, MBA Chief Executive Officer and EVP American Medical Association February

More information

1) ELIGIBLE DISCIPLINES

1) ELIGIBLE DISCIPLINES PRACTITIONER S APPLICABLE TO ALL INDIVIDUAL NETWORK PARTICIPANTS AND APPLICANTS FOR THE PREFERRED PAYMENT PLAN NETWORK, MEDI-PAK ADVANTAGE PFFS NETWORK AND MEDI-PAK ADVANTAGE LPPO NETWORK. 1) ELIGIBLE

More information

Chapter 5. Credentialing

Chapter 5. Credentialing Chapter 5 Credentialing Overview This chapter describes the South Country Health Alliance (South Country) Credentialing Program. Practitioner Credentialing Credentialing is the process used to determine

More information

IHCP Provider Enrollment Provider Type and Specialty Matrix

IHCP Provider Enrollment Provider Type and Specialty Matrix Type and Specialty Matrix Specialty Codes In-State Out-of-State (OOS) 01 Hospital 010 Acute Care 011 Psychiatric (distinct part or unit) 012 Rehabilitation (distinct part or unit) 01 Hospital 011 Psychiatric

More information

Provider Enrollment Instructions

Provider Enrollment Instructions Nevada Medicaid and Nevada Check Up Provider Enrollment Instructions Welcome! Thank you for your interest in the Nevada Medicaid and Nevada Check Up program (hereafter referred to as Nevada Medicaid ).

More information

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis)

APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICATION FOR SPECIFIED MEDICAL PROFESSIONS FOR PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach a

More information

Division of Public Health

Division of Public Health Division of Public Health FY 2013 July 1, 2012 June 30, 2013 Department of Health and Human Services Division of Public Health Licensure Unit Nebraska State Office Building 301 Centennial Mall South Third

More information

REFERENCE ACTION ANALYST STAFF DIRECTOR or BUDGET/POLICY CHIEF. 2) Health & Human Services Committee 14 Y, 0 N Holt Calamas

REFERENCE ACTION ANALYST STAFF DIRECTOR or BUDGET/POLICY CHIEF. 2) Health & Human Services Committee 14 Y, 0 N Holt Calamas HOUSE OF REPRESENTATIVES STAFF ANALYSIS BILL #: CS/HB 349 Treatment Programs for Impaired Professionals SPONSOR(S): Health Quality Subcommittee; Renuart TIED BILLS: IDEN./SIM. BILLS: REFERENCE ACTION ANALYST

More information

Clinical Quality Measures Physician Quality Reporting System 2014

Clinical Quality Measures Physician Quality Reporting System 2014 Clinical Quality Measures Physician Quality Reporting System 2014 Marcela Reyes, CHTS- CP Sevocity Product Manager 877-777-2298!! www.sevocity.com! 2014 CQMs CQMs are no longer a core objective of the

More information

DELEGATION AGREEMENT. U.S. Office of Personnel Management and Department of Health and Human Services

DELEGATION AGREEMENT. U.S. Office of Personnel Management and Department of Health and Human Services DELEGATION AGREEMENT U.S. Office of Personnel Management and Department of Health and Human Services The U.S. Office of Personnel Management (OPM), under the authority of sections 1104 and 5371 of title

More information

Federally Qualified Health Center Billing (100)

Federally Qualified Health Center Billing (100) 1. As a federally qualified health center (FQHC) can we bill for a license medical social worker? The core practitioner must be a licensed or certified clinical social worker (CSW) in your state. Unless

More information

US Department of Labor OWCP/FECA P.O. Box 8300 London, KY 40742-8300. DEEOIC P.O. Box 8304 London, KY 40742-8304

US Department of Labor OWCP/FECA P.O. Box 8300 London, KY 40742-8300. DEEOIC P.O. Box 8304 London, KY 40742-8304 Dear Provider: Thank you for your interest in participating as a provider of medical services for programs administered by the U.S. Department of Labor s Office of Workers Compensation Programs (OWCP).

More information

Diabetes Self-Management Training Services

Diabetes Self-Management Training Services INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Diabetes Self-Management Training 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 2 3 P U B L I S H E D : F E B R U

More information

Ohio Medicaid Web Portal Enrolling Provider Checklists by Request Type

Ohio Medicaid Web Portal Enrolling Provider Checklists by Request Type Ohio Medicaid Web Portal Enrolling Provider Checklists by Request Type Ohio Department of Job and Family Services TABLE OF CONTENTS General Instructions...3 Provider Enrollment Application Checklist: Individual

More information

Medicare Incentive Payments Tip Sheet

Medicare Incentive Payments Tip Sheet Connecting America for Better Health s Tip Sheet This tip sheet identifies opportunities for certain providers to receive incentive payments for participating in important initiatives. In addition to the

More information

FREQUENTLY USED DESKTOP GUIDE TO ITEM NUMBERS for Allied Health Services

FREQUENTLY USED DESKTOP GUIDE TO ITEM NUMBERS for Allied Health Services FREQUENTLY USED DESKTOP GUIDE TO ITEM NUMBERS for Allied Health Services July 2014 FREQUENTLY USED DESKTOP GUIDE TO ITEM NUMBERS ELIGIBILITY CRITERIA FOR ALLIED HEALTH PROFESSIONALS... 3 ALLIED HEALTH

More information

Medicare EHR Incentive Program, Physician Quality Reporting System and e-prescribing Comparison

Medicare EHR Incentive Program, Physician Quality Reporting System and e-prescribing Comparison Program, Physician Quality Reporting System and e-prescribing Comparison This tip sheet identifies opportunities for certain providers to receive incentive payments for participating in important initiatives.

More information

Resolving Concerns Within Alberta s Health System

Resolving Concerns Within Alberta s Health System Resolving Concerns Within Alberta s Health System C O N T E N T S Abuse...2 Alberta Blue Cross Drug Plan...3 Alberta Health Care Insurance Plan...3 Alberta s Health System...3 Alberta Ombudsman...4 Ambulance

More information

Procedure code billed is not approved for the therapy/pathology assistant.

Procedure code billed is not approved for the therapy/pathology assistant. ATTENTION: Provider Business Office Managers and Medicaid Billers Billing for Services of a Physical Therapy, Occupational Therapy or Speech-Language Pathology Assistant Effective on and after August 7,

More information

STUDENT PROFESSIONAL LIABILITY INSURANCE PROGRAM (SPLIP) Coverage Summary

STUDENT PROFESSIONAL LIABILITY INSURANCE PROGRAM (SPLIP) Coverage Summary STUDENT PROFESSIONAL LIABILITY INSURANCE PROGRAM (SPLIP) Coverage Summary This is a claims- made policy. Coverage is only provided for claims which are both: (1) first made against the Insured during the

More information

Kentucky. Medicaid Program: Kentucky Medicaid. Program Administrator: KY Dept. for Medicaid Services

Kentucky. Medicaid Program: Kentucky Medicaid. Program Administrator: KY Dept. for Medicaid Services Kentucky Medicaid Program: Kentucky Medicaid Program Administrator: KY Dept. for Medicaid Services Regional Telehealth Resource Center: Mid-Atlantic Telehealth Resource Center PO Box. 800711 Charlottesville,

More information

BOARD NOTICE 129 OF 2010

BOARD NOTICE 129 OF 2010 80 No.33540 GOVERNMENT GAZETTE, 17 SEPTEMBER 2010 BOARD NOTICE 129 OF 2010 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA HEALTH PROFESSIONS ACT, 1974 (ACT NO. 56 OF 1974) RULES RELATING TO FEES PAYABLE TO

More information

Case: 1:69-cv-02145 Document #: 3977-2 Filed: 10/22/14 Page 1 of 8 PageID #:26731 EXHIBIT 1 ACTIVELY RECRUITED POSITIONS LIST

Case: 1:69-cv-02145 Document #: 3977-2 Filed: 10/22/14 Page 1 of 8 PageID #:26731 EXHIBIT 1 ACTIVELY RECRUITED POSITIONS LIST Case: 1:69-cv-02145 Document #: 3977-2 Filed: 10/22/14 Page 1 of 8 PageID #:26731 EXHIBIT 1 ACTIVELY RECRUITED POSITIONS LIST Administrative Analyst V Administrative Director ADMINISTRATIVE DIRECTOR-DEPT

More information

APPLICATION FOR ACUPUNCTURISTS PROFESSIONAL LIABILITY INSURANCE

APPLICATION FOR ACUPUNCTURISTS PROFESSIONAL LIABILITY INSURANCE APPLICATION FOR ACUPUNCTURISTS PROFESSIONAL LIABILITY INSURANCE 1. APPLICANT INFORMATION (Claims Made Basis) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach

More information

Medicare EHR Incentive Program Physician Quality Reporting System and Electronic Prescribing Incentive Program Comparison Last Updated: May 2013

Medicare EHR Incentive Program Physician Quality Reporting System and Electronic Prescribing Incentive Program Comparison Last Updated: May 2013 EHR Incentive Program Physician Quality Reporting System and Electronic Prescribing Incentive Program Comparison Last Updated: May 2013 e: This tip sheet identifies opportunities for certain providers

More information

Health Care Employment Projections:

Health Care Employment Projections: Health Care Employment Projections: An Analysis of Bureau of Labor Statistics Occupational Projections 2010-2020 March 2012 The Center for Health Workforce Studies School of Public Health, University at

More information

HRSA Overview, National Health Service Corps and Other Health Workforce Scholarship, Loan, and Loan Repay Programs

HRSA Overview, National Health Service Corps and Other Health Workforce Scholarship, Loan, and Loan Repay Programs HRSA Overview, National Health Service Corps and Other Health Workforce Scholarship, Loan, and Loan Repay Programs U.S. Department of Health and Human Services (HHS) Health Resources and Services Administration

More information

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Non-PIHP Alcohol and Substance Abuse Community Based Services

KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL. Non-PIHP Alcohol and Substance Abuse Community Based Services KANSAS MEDICAL ASSISTANCE PROGRAM PROVIDER MANUAL Non-PIHP Alcohol and Substance Abuse Community Based Services Introduction Section 7000 7010 8100 8200 8300 8400 Appendix Forms PART II BILLING INSTRUCTIONS

More information

Richwoods High School FY16

Richwoods High School FY16 Business, Management & Administration Career Pathway Program of Study Careers High School Courses Certification/Associates Degree: Accounting Clerk Event Planner Office Manager Administrative Assistant

More information

ATTACHMENT 1--NAICS STRUCTURE

ATTACHMENT 1--NAICS STRUCTURE Part I--Proposed New Industry Structure for Ambulatory Health Care Services, Hospitals, Nursing and Residential Care Facilities, and Social Assistance Section A--NAICS Structure North American Industry

More information

West Virginia Children s Health Insurance Program

West Virginia Children s Health Insurance Program West Virginia Children s Health Insurance Program Billing Instruction Manual for Federally Qualified Health Centers (FQHC s) and Rural Health Centers (RHC s) Under a Prospective Payment System December

More information

Provider Additions and Maintenance

Provider Additions and Maintenance Working with Anthem Subject Specific Webinar Series Provider Additions and Maintenance Access to Audio Portion of Conference: Dial-In Number: 877-497-8913 Conference Code: 1322819809# Please Mute Your

More information

School Based Medicaid Claiming Program Snapshot

School Based Medicaid Claiming Program Snapshot Occupational Therapy IEP; prescribed by a physician Registered by the American Occupational Therapy Association (now the NBCOT for certification purposes); or a graduate of a program in occupational therapy

More information

Department of Veterans Affairs VA HANDBOOK 5005/59 STAFFING

Department of Veterans Affairs VA HANDBOOK 5005/59 STAFFING Department of Veterans Affairs VA HANDBOOK 5005/59 Washington, D.C. 20420 Transmittal Sheet July 17, 2012 STAFFING 1. REASON FOR ISSUE: To establish a Department of Veterans Affairs (VA) qualification

More information

Medicaid Application Fee Requirement by Provider Type

Medicaid Application Fee Requirement by Provider Type Medicaid Application Fee Requirement by Provider Type The following table shows which Medicaid provider types are required to pay the application fee upon initial enrollment, re-enrollment, and enrollment

More information

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the

The Field of Counseling. Veterans Administration one of the most honorable places to practice counseling is with the Gainful Employment Information The Field of Counseling Job Outlook Veterans Administration one of the most honorable places to practice counseling is with the VA. Over recent years, the Veteran s Administration

More information

Health Workforce Trends and Policy in Nevada and the United States

Health Workforce Trends and Policy in Nevada and the United States Health Workforce Trends and Policy in Nevada and the United States Tabor Griswold, PhD Health Services Research Analyst Office of Statewide Initiatives University of Nevada School of Medicine CHS Fall

More information

58-13-1. Title. This chapter is known as the "Health Care Providers Immunity from Liability Act."

58-13-1. Title. This chapter is known as the Health Care Providers Immunity from Liability Act. 58-13-1. Title. This chapter is known as the "Health Care Providers Immunity from Liability Act." Enacted by Chapter 253, 1996 General Session 58-13-2. Emergency care rendered by licensee. (1) A person

More information

Allied Healthcare Provider Professional Liability Application

Allied Healthcare Provider Professional Liability Application Allied Healthcare Provider Professional Liability Application 746 Alexander Road, Princeton, NJ 08540-6305 (800) 334-0588 www.princetoninsurance.com Allied Healthcare Provider Professional Liability Application

More information

Chapter 5. Credentialing

Chapter 5. Credentialing Chapter 5 Credentialing Overview This chapter describes the South Country Health Alliance (South Country) Credentialing Program. Organizational Assessments South Country maintains contracts with Organizational

More information

Professional Liability Application for Allied and Miscellaneous Services

Professional Liability Application for Allied and Miscellaneous Services Professional Liability Application for Allied and Miscellaneous Services Send submissions to midcsubmis@proassurance.com. Instructions: Answer all questions; applicant s name must include the names of

More information

HEALTH, HEALTH SERVICE, and BUSINESS PROFESSIONS List Contact and Mailing Information

HEALTH, HEALTH SERVICE, and BUSINESS PROFESSIONS List Contact and Mailing Information HEALTH, HEALTH SERVICE, and BUSINESS PROFESSIONS List Contact and Mailing Information Email: Phone: dspslistprocessing@wisconsin.gov (608) 261-7085, 7:45 a.m. to 4:30 p.m. Central Time Fax: (608) 261-7083

More information

ANCILLARY APPLICATION FOR PROFESSIONAL LIABILITY INSURANCE

ANCILLARY APPLICATION FOR PROFESSIONAL LIABILITY INSURANCE ANCILLARY APPLICATION FOR PROFESSIONAL LIABILITY INSURANCE MIDWEST MEDICAL INSURANCE COMPANY 7650 EDINBOROUGH WAY, SUITE 400, MINNEAPOLIS, MN 55435-5978 PH. (952)838-6700 or 1-800-328-5532 FAX (952)838-6808

More information

Form 204 General Information (Certificate of Formation Professional Association) Commentary

Form 204 General Information (Certificate of Formation Professional Association) Commentary Form 204 General Information (Certificate of Formation Professional Association) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This

More information

StaffingForce direct and interim staffing services are available throughout the U.S. and in 45 other countries on six continents.

StaffingForce direct and interim staffing services are available throughout the U.S. and in 45 other countries on six continents. StaffingForce Healthcare Solutions Our search, recruitment and staffing services are specifically designed to reduce your cost per hire while expediting the time it takes to fill your direct and interim

More information

Provider Handbooks. Telecommunication Services Handbook

Provider Handbooks. Telecommunication Services Handbook Provider Handbooks January 2016 Telecommunication Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid under contract with the Texas Health

More information

Ancillary Professional Liability Renewal Application

Ancillary Professional Liability Renewal Application A. Applicant Information Name of Applicant (First, Middle, Last) Applicant s Business Address (Street, City, State, Zip Code) Ancillary Professional Liability Renewal Application Business Phone: Fax: E-mail:

More information

CHAPTER 8 HEALTH CARE

CHAPTER 8 HEALTH CARE CHAPTER 8 HEALTH CARE LOCAL HEALTHCARE PROVINCIAL MEDICAL CARE PLAN (MCP) INTERIM FEDERAL HEALTH PROGRAM FINDING A DOCTOR PRESCRIPTION DRUGS MEDICAL EMERGENCIES Local Healthcare We have a modern hospital

More information

INTRODUCTION. The Workers Compensation Act provides in part as follows:

INTRODUCTION. The Workers Compensation Act provides in part as follows: INTRODUCTION The Maryland Workers Compensation Commission (Commission) amended COMAR 14.09.03.01 (Guide of Medical and Surgical Fees) on February 12, 2004. AUTHORITY The Workers Compensation Act provides

More information

NEW products from the Medicare Learning Network (MLN) Transitional Care Management Services, Fact Sheet, ICN 908682, Downloadable only.

NEW products from the Medicare Learning Network (MLN) Transitional Care Management Services, Fact Sheet, ICN 908682, Downloadable only. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services NEW products from the Medicare Learning Network (MLN) Transitional Care Management Services, Fact Sheet, ICN 908682, Downloadable

More information

Medicare Beneficiaries (QMB) Provider Enrollment Application

Medicare Beneficiaries (QMB) Provider Enrollment Application Iowa Department of Human Services Medicare Beneficiaries (QMB) Provider Enrollment Application Please copy and complete one for each individual professional and institutional category that is part of this

More information

5 Health Care Pathways

5 Health Care Pathways Health Care Careers 5 Health Care Pathways All Health Care occupations are organized into 5 pathways. THERAPEUTIC SERVICES DIAGNOSTIC SERVICES HEALTH INFORMATICS SUPPORT SERVICES BIOTECHNOLOGY RESEARCH

More information

IHS/638 Facility FAQ s

IHS/638 Facility FAQ s Q: Who determines the provider type? Does this happen during provider Registration? A: The Provider Registration production staff determined the provider type based on the licenses and the information

More information

Ohio Legislative Service Commission

Ohio Legislative Service Commission Ohio Legislative Service Commission Bill Analysis Lisa Musielewicz S.B. 228 129th General Assembly (As Introduced) Sens. Burke, Lehner, Schiavoni, Tavares, Schaffer BILL SUMMARY Authorizes a certified

More information

CSURMA Fitting the Pieces Together Annual Conference

CSURMA Fitting the Pieces Together Annual Conference The California State University CSURMA Fitting the Pieces Together Annual Conference Student Professional Liability November 6, 2006 Charlene M. Minnick, CSU Chief Risk Officer Rob Leong, CSURMA Program

More information

Proposal for Practice Indemnity Insurance

Proposal for Practice Indemnity Insurance Proposal for Practice Indemnity Insurance Support Protect Promote This is a proposal for a Practice Indemnity Policy underwritten by MDA National Insurance Pty Ltd (MDA National Insurance) ABN 56 058 271

More information

Department of Veterans Affairs Federal Supply Service Authorized Federal Supply Schedule Price List Effective Date: September 15, 2007

Department of Veterans Affairs Federal Supply Service Authorized Federal Supply Schedule Price List Effective Date: September 15, 2007 Department of Veterans Affairs Federal Supply Service Authorized Federal Supply Schedule Price List Effective Date: September 15, 2007 On-line access to contract ordering information, terms and conditions,

More information

Professional Licensure/Active Licensees NAIC Notes Board/Agency

Professional Licensure/Active Licensees NAIC Notes Board/Agency Professional Licensure/Active Licensees NAIC Notes /Agency Certified Public Accountant 541211 Foreign Accountant 541211 Public Accounting Firm 541211 Temp Public Accounting Firm 541211 Accountants Excludes

More information

MEDICAID REIMBURSEMENT GUIDELINES FOR. PARTICIPATING LOCAL EDUCATION AGENCIES (LEAs)

MEDICAID REIMBURSEMENT GUIDELINES FOR. PARTICIPATING LOCAL EDUCATION AGENCIES (LEAs) MEDICAID REIMBURSEMENT GUIDELINES FOR PARTICIPATING LOCAL EDUCATION AGENCIES (LEAs) I. General Overview The District of Columbia s Medicaid program allows for Medicaid reimbursement for medically necessary

More information

Introduction to One Care. MassHealth plus Medicare. www.mass.gov/masshealth/onecare

Introduction to One Care. MassHealth plus Medicare. www.mass.gov/masshealth/onecare Introduction to One Care MassHealth plus Medicare www.mass.gov/masshealth/onecare Overview of One Care Starting in fall 2013, MassHealth and Medicare will join together with health plans in Massachusetts

More information

NJ FamilyCare A. Covered by Horizon NJ Health for spontaneous abortions/miscarriages. Abortions & Related Services

NJ FamilyCare A. Covered by Horizon NJ Health for spontaneous abortions/miscarriages. Abortions & Related Services NJ FamilyCare A BENEFIT Abortions & Related Services COVERAGE by Horizon NJ Health for spontaneous abortions/miscarriages. by Fee-for-Service for elective/induced abortions. Acupuncture Audiology (see

More information