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[DOC File]TARGETED CASE MANAGEMENT ENROLLMENT TIPS
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Provider Type Code: Enter the two-digit code for the appropriate provider type. Select one of the following codes appropriate for case management billing providers: Advanced Practice Registered Nurse - 30. Registered Nurse - 31 . Social Worker and ES Service Coordinator - 32. Practice Type Code Enter 30. Category of Service Code: Enter 75. Specialty Code: Leave Blank. License Information: For ...
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[DOC File]Targeted Case Management Section II
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262.400 Special Billing Procedures 262.410 Completion of Form Medicare/Medicaid Deductible and Coinsurance 10-13-03 Medicare billing is not applicable to targeted case management services. 262.420 Services Prior to Medicare Entitlement 7-1-07 Services that have been denied by Medicare with the explanation “Services Prior to Medicare Entitlement” may be filed with Medicaid.
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[DOC File]Behavioral Health MOU template: Health Plan-County Department
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To determine responsibility for covering Medi-Cal specialty mental health services, health plans and counties will follow the medical necessity criteria for specialty mental health services available per California’s 1915(b) waiver and State Plan Amendments for targeted case management and expanded services under the Rehabilitation Option, described in Title 9, California Code of Regulations ...
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[DOCX File]Special Case Managed Members
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Physicians must complete a Special Case Management Provider Request for Status Change form on behalf of their members. The HS staff will contact the providers as necessary to obtain medical documentation. Each case will be reviewed by the Chief Medical Officer or Physician Designee. Members may appeal the decision by the process in policy CGA-024 Medi-Cal Member Grievance System.
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[DOC File]Health Eligibility Case Management System
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Gerry Lowe Tom Hamilton 11/14/07 Updated Health Eligibility Case Management System Help section with additional 3.1 information. Gerry Lowe Tom Hamilton 11/05/07 Updated change in order of columns in Button Bar/Reports/Completed Reports section (moved Status column). Added View Action to Archived Completed Reports. Changed Title field to Report Title per GUI. Gerry Lowe Tom Hamilton 10/15/07 ...
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[DOCX File]Bucks County Intensive Case Management/Resource ...
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The case management referral must be completed in its entirety. Please take note of all attachments that must accompany the referral as well as the time frames for each. The referral packet should be submitted to the appropriate Targeted Case Management Office (see listing below): Lower Bucks: Penndel Mental Health Center; 2005 Cabot Boulevard West, Suite 100, Langhorne, PA 19047 ; 267-587 ...
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[DOCX File]Section I: Case Management Overview
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Case management consists of intake, assessment/eligibility, plan of care development, coordination and advocacy, monitoring, and evaluation. Refer to MaineCare Benefits Manual, Section 13: Targeted Case Management. for a. description of MaineCare covered services for Case Management Services. Case Management Services include: Intake
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[DOC File]NASW MEDICARE B FACT SHEET
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Ongoing family therapy services and case management services are not billable to Medicare B. Any services to hospital inpatients or SNF level patients must be billed by the hospital to Medicare A. V codes are not covered. Collaborative phone calls and conferences are considered to be part of the covered session, and cannot be billed for separately.
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[DOCX File]Chapter 10: Nursing Facility Case Management and Relocation
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2020-08-01 · NFLOC eligibility questions are located in the Pre-Transition & Sustainability folder on the NF Case Management screen. The questions are accessed by clicking on the “+” button when a record doesn’t exist for the Nursing Facility stay or the “Edit/View” button if a record does exist for the NF stay on the Nursing Facility Case Management History table.
cpt codes for case management

[DOC File]INTKE/ELIGIBILITY FORM
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This form is used by staff (who may or may not be case managers) to obtain and document required information to determine a person’s eligibility to receive HIV/AIDS medical and support services under the Mecklenburg County Transitional Grant Area (TGA).
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Medicare code case management