Transcription of Insurance Service Coordination Tool Kit
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Insurance Service Coordination Tool Kit
Revised October 2019 NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EARLY INTERVENTION Insurance Tool Kit for Service Coordinators Tool Kit Items: 1. Initial Service Coordinator Insurance Responsibilities 2. Ongoing Service Coordinator Insurance Responsibilities 3. Collection of Insurance Information Form A 4. Child Insurance Information Form B 5. Authorization to Release Health Insurance Information Form C 6. Request for Coverage Information Form D 7. Instructions for Ongoing Service Coordinators: Collecting the Written Referral from Parents or Primary Health Care Practitioners 8. Written Referral from Primary Health Care Practitioner Form E 9. Parent Notice Regarding Insurance 10. ITEM 10 Form F- Has been removed- no longer applicable 11.
These third-party payors are important resources for the EIP (Section ... (IFSP), including service coordination and evaluations. This is inclusive of children that are uninsured. i. If a child is uninsured, the service coordinator is responsible for assisting the parent in ... Insurers are prohibited from charging any benefits paid for EIP ...
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