Ancillary care services provider manual

ancillary providers to coordinate services that meet the specific needs of the member in need of Case Management services. Since early identification is essential to proactive Case Management, the company providing Utilization Management provides referral of Eligible Persons through precertification and concurrent review process. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Blue EssentialsSM, Blue Advantage HMOSM, Blue PremierSM and MyBlue HealthSM Provider Manual - Filing Claims - Ancillary Services Please Note Throughout this provider manual there will be instances. Doc#: PCA v Care Provider Manual Physician, Health Care Professional, Facility and Ancillary North Carolina.

This manual is a tool to assist you in providing contracted health care services to the enrolled patients assigned to MemorialCare Select Health Plan and your practice. Since MemorialCare Select Health Plan is a health care delivery system, it is important to understand that our essential responsibility is to. Welcome to the Commonwealth Care Alliance provider manual. The provider manual has recently undergone revisions and includes updates on doing business with Commonwealth Care Alliance. The manual includes information about our Senior Care Option and One Care programs. compliance with provider enrollment and screening. Reimbursement SCDHHS will reimburse the home health provider for services agreed to in the contract, according to the interim rates provided by the Department of Ancillary Reimbursements, Bureau of. Reimbursement Methodology and Policy of SCDHHS. Payment will be made at a fixed rate per visit.

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