Early and Periodic Screening, Diagnosis and …

THERAPEUTIC DRUG INTERCHANGE LISTS

appropriate for all members. Some drugs are brand preferred and cannot be substituted with the direct generic so alter-natives within the class are listed.

  Drug, Generic

Contract Request Form - Sunshine Health

New Repaper Amendment Amendment # _____ Sent _____ Recvd _____ ECM # _____ 1. st. ... This form and the information you provide is used by Sunshine Health to evaluate the offering of a Contract and is not representative of an application or a Legal Agreement. This is not a guarantee of Contract.

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A Billing and Procedure Coding Guide: Home Health and ...

documentation – including billing and procedure coding – as one such area to address. Medical record documentation with correct billing and procedure coding can lead to higher levels of reimbursement for providers. Conversely, coding errors can result in lower quality scores and missed reimbursement opportunities.

  Coding, Medical

Chapter 1: Welcome to Sunshine Health

Sunshine Health MMA, SMI, LTC and CWSP Provider Manual © 2021 Sunshine Health 7 Exclusions to the 72-Hour Emergency Supply ..... 103

Provider Billing Manual - Sunshine Health

claims and to avoid unnecessary rejections and/or denials. Claims will be rejected or denied if not submitted correctly. In general, Sunshine He alth follows CMS (Centers for Medicare & Medicaid Services) billing requirements. For questions regarding billing requirements, contact Sunshine Health Provider Services at 1-844-477-8313.

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Medicaid Prior Authorization Request Form - Sunshine Health

Prior Authorization Request Form Save time and complete online CoverMyMeds.com. CoverMyMeds provides real time approvals for select drugs, faster decisions and saves you valuable time! Or return completed fax to 1-833-546-1507 I. PROVIDER INFORMATION Name: NPI #: Office Contact: Phone: Fax: Diagnosis: II. MEMBER INFORMATION. Name: Member ID ...

  Form, Authorization

Over-the-Counter Health & Wellness Catalog

You will need it to look up the health and wellness . products you want to order every month. Welcome to the Children’s Medical . Services (CMS) Health Plan Over-the-Counter Health and Wellness Benefit! Your child’s benefits include a monthly allowance. Use this . allowance to purchase over-the-counter (OTC) items that your .

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Over-the-Counter Health & Wellness Catalog

Health Over-the-Counter Health and Wellness Benefit! Your Sunshine Health benefits include a monthly allowance. Use this allowance to purchase over-the-counter (OTC) items that you probably use every day. These include first aid supplies, cold/ cough medications, eye drops, toothpaste, pain relievers, vitamins and personal care items.

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Questions? Call Member Services at 1-866-796-0530 or TTY ...

(Long-Term Care PDO) 1-877-659-4500 Envolve PeopleCare (Disease Management) 1-800-942-4008 Nurse Advice Line 1-866-796-0530 Dental Services Contact your case manager directly or call 1-866-796-0530 for help with arranging these services.

INDICATES REQUIRED FIELD *0675* - Sunshine Health

516 BH Intensive Outpatient Therapy . 510 BH Medical Management . DME 417 DME - Rental (Purchase Price) 120 DME - Purchase . 518 BH Mental Health /Chemical Dependency Observation . 519 BH Outpatient Therapy . 530 BH PHP . Drugs 520 BH Professional Fees . 422 Biopharmacy Buy & Bill Drugs . 522 BH Psychiatric Evaluation (Fax Buy & Bill Drug ...

  Observation, Outpatient

Early and Periodic Screening, Diagnosis, and …

1512 Willow Lawn, Suite 100, Richmond, VA 23230 T:800-552-3962 www.dLCV.org F:804-662-7431 . Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)

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Early and Periodic Screening, Diagnosis and …

3 Early and Periodic Screening, Diagnosis and Treatment Services (EPSDT) The goal of the Early Periodic Screening, Diagnostic and Treatment (EPSDT) program, also

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Early and Periodic Screening, Diagnosis, and …

Note: For policy information regarding coverage of Early and Periodic Screening, Diagnosis, and Treatment services, see the Medical Policy Manual at

  Screening, Early, Periodic, Early and periodic screening

HealthWatch/Early and Periodic Screening, …

INDIANA HEALTH COVERAGE PROGRAMS. HealthWatch/Early and Periodic Screening, Diagnosis, and Treatment Provider Manual . LIBRARY REFERENCE NUMBER: PRPR10005

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EPSDT - Early Periodic Screening, Diagnosis and …

1 EPSDT - Early Periodic Screening, Diagnosis and Treatment Exam Early and periodic screening, diagnostic and treatment services (EPSDT) are …

  Screening, Early, Periodic, Early and periodic screening, Early periodic screening

Early and Periodic Screening, Diagnosis and …

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Services For Members under the age of 21 years, Contractor shall provide or arrange and pay for

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Options and Considerations When Accessing …

EPSDT – Early Periodic Screening, Diagnosis and Treatment – is a separate program under Medicaid that offers coverage to children from birth to age

  Screening, Early, Periodic, Early periodic screening

NORTH DAKOTA HEALTH TRACKS EARLY …

March 2018 1 NORTH DAKOTA HEALTH TRACKS EARLY PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPSDT) WHAT IS EPSDT Health Tracks is the name of North Dakota Medicaid’s EPSDT program.

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Early and Periodic Screening, Diagnosis and …

3 A caregiver and child have the same rights in regard to the EPSDT program as they do throughout the Medicaid program. These rights include the right to refuse service, to

  Screening, Early, Diagnosis, Periodic, Diagnosis and, Early and periodic screening

Early and Periodic, Screening, Diagnosis and …

July 17, 2017 1 Early and Periodic, Screening, Diagnosis and Treatment (EPSDT) Requirements in the Managed Medical Assistance Program Overview EPSDT provides a comprehensive array of prevention ...

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