Aim specialty health prior authorization
Commonwealth of Massachusetts
Prior authorization determines only the medical necessity of the authorized service and does not establish or waive any other prerequisites for payment such as member eligibility, the availability of other health-insurance payment, or whether the service is a covered service.
[DOC File]Section I All Provider Manuals - Arkansas
https://info.5y1.org/aim-specialty-health-prior-authorization_1_59a3a5.html
B. Prior authorization for private duty nursing, hearing aids and hearing aid repair, extension of benefits for home health beneficiaries age twenty-one (21) and older, extension of benefits for personal care for beneficiaries age twenty-one (21) and older, medical supplies, and incontinence products;
[DOCX File]Provider Relations - Gonzaba Medical Group
https://info.5y1.org/aim-specialty-health-prior-authorization_1_72c9f7.html
Our Referral Staff can assist with Referral and prior authorization submission process, verifying member eligibility, helping you to obtain UM criteria, etc. Claims are currently paid by the Health Plan although we are contracting with Innovista Health Solutions (TPA) and will begin paying claims for Amerigroup patients assigned to a Gonzaba ...
www11.anthem.com
PRIOR AUTHORIZATION (800) 238-2227. REQUIRED. for elective and emergent admissions, outpatient surgery and transplants. May be required for outpatient diagnostic radiological services (MRA, MRI, PET, CT, nuclear cardiology, sleep study, specialty pharmacy) – call AIM Specialty Health (866) 714-1107. May be required for physical therapy services:
[DOCX File]Current Issues in Credentialing and Privileging
https://info.5y1.org/aim-specialty-health-prior-authorization_1_125588.html
The 24 ABMS member boards offer general and sub-specialty certificates. Each specialty board acts as an independent body determining its own requirements and policies for certification. The board accepts candidates for certification from persons who fulfill its requirements, administers certification exams, and issues certificates to those who ...
[DOCX File]Provider Manual - Health Share of Oregon
https://info.5y1.org/aim-specialty-health-prior-authorization_1_5bb915.html
Outpatient Mental Health Treatment with Specialty Outpatient Individual and Small Group Provider ... case rates will contribute to achieving the Triple Aim of better care, better health and lower costs. ... Behavioral Health Plan staff make level of care decisions for all services that require prior authorization. The Behavioral Health Plan ...
[DOC File]PIHP - Michigan
https://info.5y1.org/aim-specialty-health-prior-authorization_1_d96d94.html
Consumers should aim for securing a better value in terms of outcomes for the costs involved. ... and authorization of specialty mental health services and supports for people eligible for mental health services. ... program or unit (access centers, prior authorization unit, or continued stay units), any decision to deny, suspend, reduce, or ...
SAFETY AND HEALTH PROGRAM MANAGEMENT GUIDELINES
To help insure your continued good health and that of visitors to our offices/facilities, we are adopting and sponsoring a program of action dedicated to the reduction or elimination of causes for loss. ... Many of the State Plan States had hazard communication or "right-to-know" laws prior to promulgation of the Federal rule. ... authorization ...
[DOC File]Anthem Blue Cross Blue Shield: Health Insurance, Medicare ...
https://info.5y1.org/aim-specialty-health-prior-authorization_1_bb28e5.html
AIM Specialty Health® (AIM) AIM Specialty Health provides clinical solutions that drive appropriate, safe, and affordable care. Serving more than 50 million members across 50 states, D.C. and U.S. territories, AIM promotes optimal care through use of evidence-based clinical guidelines and real-time decision support for both providers and their ...
[DOC File]NORTHPOINTE BEHAVIORAL HEALTHCARE SYSTEMS
https://info.5y1.org/aim-specialty-health-prior-authorization_1_34200b.html
Individuals should aim for securing a better value, in terms of outcomes, for the costs involved. Existing personal and community resources shall be pursued and utilized prior to the authorization of a budget for a plan that includes Medicaid covered specialty services and supports.
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