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Service Provider To Render Security Services
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HFS MANAGED CARE BILLING AND GUIDELINES: Home and ...
iamhp.netservices rendered by certified and enrolled Home and Community Based Services (HCBS) Waiver providers. As required by the Illinois Department of Healthcare and Family Services (HFS) , HCBS Waiver providers are eligible to render covered services and must adhere to the following prescribed billing criteria to be reimbursed accordingly by MCOs.
PLEASE READ CAREFULLY THE FOLLOWING INFORMATION …
www.wcb.ny.govThe undersigned requests written authorization for the following special service(s) costing over $1,000 or requiring pre-authorization pursuant to the Medical Treatment Guidelines.Do NOT use this form for injuries/illnesses involving the Mid and Low Back, Neck, Knee, Shoulder, Carpal Tunnel Syndrome and Non-Acute Pain, except for the treatment/procedures listed below under