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Provider Manual Section
therapy.pdf
therapy.pdf
TherapyQA.pdf
Thumbs.db
therapy.pdf
therapy.pdf
TherapyQA.pdf
Thumbs.db
Section 3.01 - Eligibility Groups.pdf
Section 43.01 - Introduction.pdf
Section 17.01 Introduction.pdf
Section 44.01 - Introduction.pdf
Section 64.01 - PAS Introduction.pdf
Section 13.01 - Ambulatory Surgical Center - Introduction.pdf
Section 49.01 - Introduction.pdf
Section 56.01 - Xolair(Omalizumab).pdf
Section 32.01 - Introduction.pdf
Section 81.01 - Correct Coding.pdf
Section 20.01 - Introduction.pdf
Section 57.01 - Introduction.pdf
Section 16.01 - Introduction.pdf
Section 10.01 - Introduction.pdf
Section 79.01 - Introduction.pdf
Section 2.01 - Medicaid Services.pdf
Section 4.01 - Definitions.pdf
Section 6.01 - General Information.pdf
Section 7.01 - Disclosure of Confidential Information.pdf
Section 8.01 - Ambulance Manual Introduction.pdf
Section 11.01 - Introduction.pdf
Section 53.01 - RESERVED FOR FUTURE USE.pdf
Section 25.01 - Introduction.pdf
Section 1.01 - Purpose of Provider Manual.pdf
Section 14.01 - Introduction.pdf
Section 52.01 - Introduction.pdf
Section 12.01 - Introduction.pdf
Section 29.01 - Introduction.pdf
Section 9.01 - Introduction.pdf
Section 15.01 - Introduction.pdf
Section 73.01 - Introduction.pdf
Section 18.01 - Introduction.pdf
Section 21.01 - Introduction.pdf
Section 26.01 - Introduction.pdf
Section 28.01 - Introduction.pdf
Section 19.01 - Introduction.pdf
Section 27.01 - RESERVED FOR FUTURE USE.pdf
Section 30.01 - Introduction.pdf
Section 31.01 - Introduction.pdf
Section 36.01 - Introduction.pdf
Section 35.01 - Introduction.pdf
Section 38.01 - Introduction.pdf
Section 40.01 - Introduction.pdf
Section 42.01 - Introduction.pdf
Section 47.01 - Introduction.pdf
Section 41.01 - Introduction.pdf
Section 48.01 - Introduction.pdf
Section 51.01 - Introduction.pdf
Section 37.01 - RESERVED FOR FUTURE USE.pdf
Section 46.01 - RESERVED FOR FUTURE USE.pdf
Section 65.01 - Introduction.pdf
Section 66.01 - Introduction.pdf
Section 68.01 - Introduction.pdf
Section 69.01 - Introduction.pdf
Section 71.01 - Introduction.pdf
Section 70.01 - Introduction.pdf
Section 72.01 - Introduction.pdf
Section 76.01 - Introduction.pdf
Section 75.01 - Introduction.pdf
Section 77.01 - Introduction.pdf
Section 77.02 - New Vaccines.pdf
Section 75.02 - Provider Participation.pdf
Section 76.02 - Provider Enrollment.pdf
Section 72.02 - Eligibility.pdf
Section 70.02 - Freedom of Choice.pdf
Section 71.02 - Provider Participation.pdf
Section 69.02 - Eligibility.pdf
Section 68.02 - Eligibility.pdf
Section 66.02 - Eligibility.pdf
Section 65.02 - Eligiblity.pdf
Section 46.02 - Port Films.pdf
Section 37.02 - Independent Diagnostic Testing Facilities and Other Independent Mobile Diagnostic Units.pdf
Section 55.02 - Physician Fees.pdf
Section 51.02 - Anesthesia Services.pdf
Section 48.02 - Benefit Cost Sharing.pdf
Section 41.02 - Composite Rate Reimbursement Definition of Units.pdf
Section 47.02 - Beneficiary Cost Sharing.pdf
Section 42.02 - Anesthesia.pdf
Section 40.02 - Criteria for Coverage.pdf
Section 38.02 - Multiple Birth Deliveries.pdf
Section 35.02 - Certification of Providers.pdf
Section 36.02 - RESERVED FOR FUTURE USE.pdf
Section 31.02 - Pharmacy Participation.pdf
Section 30.02 - Hearing Aids.pdf
Section 27.02 - LPN Care of Ventilator Dependent Patients in the Home Setting.pdf
Section 19.02 - Provider Agreement.pdf
Section 28.02 - Covered Transplant Procedures.pdf
Section 26.02 - Discharge Against Medical Advice - AMA.pdf
Section 21.02 - Provider Categories.pdf
Section 18.02 - Staffing.pdf
Section 73.02 - Provider Enrollment - Participation Requirements.pdf
Section 15.02 - Services.pdf
Section 9.02 - Guidelines.pdf
Section 29.02 - Reimbursement.pdf
Section 12.02 - Eligibility.pdf
Section 52.02 - Definitions.pdf
Section 1.02 - INTENTIONALLY LEFT BLANK.pdf
Section 25.02 - Accommodations.pdf
Section 53.02 - Health Fairs.pdf
Section 11.02 - Dental Programs.pdf
Section 8.02 - Definitions.pdf
Section 7.02 - Access to Public Information.pdf
Section 6.02 - Medical Cost Avoidance Procedures.pdf
Section 4.02 - Conditions of Participation.pdf
Section 2.02 - Benefits and Limitations.pdf
Section 79.02 - Provider Qualifications.pdf
Section 3.02 - Newborn Child Eligibility.pdf
Section 10.02 - Reimbursement.pdf
Section 16.02 - Eligibility.pdf
Section 57.02 - Beneficiary Enrollment.pdf
Section 20.02 - Definitions.pdf
Section 50.02 - Respiratory Therapists.pdf
Section 81.02 - Modifiers.pdf
Section 17.02 Definitions and Abbreviations.pdf
Section 32.02 - Covered Services.pdf
Section 56.02 - Hyaluronate Joint Injection.pdf
Section 49.02 - Beneficiary Cost Sharing.pdf
Section 13.02 - Ambulatory Surgical Center - Definitions.pdf
Section 64.02 - Guidlines for Submissions of PAS for LTC Programs.pdf
Section 44.02 - Provider Enrollment Agreement.pdf
Section 43.02 - Provider Enrollment.pdf
Section 14.02 - Program Overview.pdf
Section 27.03 - Private Duty Nursing.pdf
Section 43.03 - Reimbursement Methodology.pdf
Section 44.03 - Reimbursement.pdf
Section 64.03 - PAS Exclusions.pdf
Section 13.03 - Ambulatory Surgical Center - Dual Eligibles.pdf
Section 49.03 - Coverage.pdf
Section 32.03 - Exclusions.pdf
Section 17.03 Medicaid Eligibility.pdf
Section 56.03 - Unused Injectable Drugs.pdf
Section 20.03 - PASRR Flowchart.pdf
Section 57.03 - Provider Enrollment - Participation Requirements.pdf
Section 81.03 - Code Auditing.pdf
Section 55.03 - Medical Visit Editing.pdf
Section 16.03 - Provider Enrollment.pdf
Section 10.03 - DME Co-Payments.pdf
Section 3.03 Beneficiary Retroactive Eligibility.pdf
Section 79.03 - Quality Assurance and Monitoring Plan.pdf
Section 2.03 - Exclusions.pdf
Section 4.03 - Change of Ownership.pdf
Section 6.03 - Billing Procedures.pdf
Section 7.03 - Maintenance of Records.pdf
Section 8.03 - Emergency Ground Ambulance.pdf
Section 11.03 - CoPayment.pdf
Section 53.03 - Circumcisions.pdf
Section 25.03 - Discharge Against Medical Advice - AMA.pdf
Section 1.03 - What is Medicaid.pdf
Section 14.03 - Physician Certification Plan of Care.pdf
Section 52.03 - Billing Reimbursement.pdf
Section 12.03 - Transport of Nursing Facility Residents.pdf
Section 29.03 - Beneficiary Cost Sharing.pdf
Section 9.03 - Co-Payment.pdf
Section 15.03 - Psychotherapeutic Services.pdf
Section 73.03 - Program Services.pdf
Section 18.03 - Admission.pdf
Section 21.03 - Definitions.pdf
Section 26.03 - Ancillary Services.pdf
Section 28.03 - Heart Transplants Coverage Criteria.pdf
Section 19.03 - Termination of Provider Agreement.pdf
Section 30.03 - Cochlear Implants.pdf
Section 31.03 - Co-Payment.pdf
Section 36.03 - Provider Agreements.pdf
Section 35.03 - Exchange of Information DOM-317.pdf
Section 38.03 - Maternity Fetal Ultrasound.pdf
Section 40.03 - Covered Services.pdf
Section 42.03 - Documentation.pdf
Section 47.03 - Exclusions.pdf
Section 41.03 - Professional Services.pdf
Section 48.03 - Exclusions.pdf
Section 51.03 - CRNA's.pdf
Section 37.03 - Paternity Testing.pdf
Section 46.03 - Positron Emission Tomography (PET) Scans.pdf
Section 65.03 - Provider Enrollment.pdf
Section 66.03 - Freedom of Choice.pdf
Section 68.03 - Provider Enrollment.pdf
Section 69.03 - Freedom of Choice.pdf
Section 71.03 - Freedom of Choice.pdf
Section 70.03 - Beneficiary Cost Sharing.pdf
Section 72.03 - Freedom of Choice.pdf
Section 76.03 - Documentation Requirements.pdf
Section 75.03 - TCM Activities.pdf
Section 77.03 - Tuberculin Skin Test.pdf
Section 77.04 - Vaccines for Children.pdf
Section 75.04 - Quality Assurance and Monitoring.pdf
Section 76.04 - Program Requirements.pdf
Section 72.04 - Covered Services.pdf
Section 70.04 - Covered Services.pdf
Section 71.04 - High Risk Pregnant Women.pdf
Section 69.04 - Referral Process.pdf
Section 68.04 - Freedom of Choice.pdf
Section 66.04 - Referral Process.pdf
Section 65.04 - Freedom of Choice.pdf
Section 51.04 - Criteria for Medical Direction of Residents.pdf
Section 48.04 - General Coverage Criteria.pdf
Section 41.04 - Laboratory Tests.pdf
Section 47.04 - General Coverage Criteria.pdf
Section 42.04 - Injections.pdf
Section 40.04 - Durable Medical Equipment, Orthotics or Prosthetics.pdf
Section 38.04 - Maternity Epidurals.pdf
Section 35.04 - Intentionally Left Blank.pdf
Section 36.04 - Termination of Agreement.pdf
Section 31.04 - Reimbursement.pdf
Section 30.04 - Newborn Hearing Screens.pdf
Section 27.04 - Nurse Practitioners.pdf
Section 19.04 - RESERVED FOR FUTURE USE.pdf
Section 28.04 - Bone Marrow Transplant Coverage Criteria.pdf
Section 26.04 - Hospital Based Physicians.pdf
Section 21.04 - General Requirements.pdf
Section 18.04 - Exclusions.pdf
Section 73.04 - Periodic Referral Schedule Appointments.pdf
Section 15.04 - Case Management Services.pdf
Section 9.04 - Billing Procedures.pdf
Section 29.04 - Exclusions.pdf
Section 12.04 - Broker Responsibilities.pdf
Section 52.04 - Bilateral Procedures.pdf
Section 14.04 - Election Procedures.pdf
Section 1.04 - Administration of the Medicaid Program.pdf
Section 25.04 - Ancillary Services.pdf
Section 53.04 - Chelation Therapy.pdf
Section 11.04 - Laboratory Services Diagnostic Cases and Photographs.pdf
Section 8.04 - Air Ambulance.pdf
Section 7.04 - Fraud and Abuse.pdf
Section 6.04 - Casualty Cases.pdf
Section 4.04 - Termination of Provider Agreement.pdf
Section 2.04 - Coordination of Benefits.pdf
Section 79.04 - Reimbursement.pdf
Section 3.04 - Eligibility for Medicare and Medicaid.pdf
Section 10.04 - Dual Eligibles.pdf
Section 16.04 - Freedom of Choice.pdf
Section 55.04 - Oral Health Assessment Flouride Varnish.pdf
Section 57.04 - Covered Services.pdf
Section 20.04 - Level I Screening.pdf
Section 56.04 - Drug Rebates (NDC Drug Numbers).pdf
Section 17.04 Screening and Admission.pdf
Section 32.04 - Providers.pdf
Section 37.04 - Qualitative Drug Screening.pdf
Section 49.04 - NonCoverage.pdf
Section 13.04- Ambulatory Surgical Center - Documentation Requirements.pdf
Section 64.04 - PAS Qualifications and Responsibilities.pdf
Section 44.04 - Service Limits.pdf
Section 43.04 - Service Limits.pdf
Section 46.04 - Independent Diagnostic Testing Facilities (IDTF).pdf
Section 43.05 - Additional Services for Children.pdf
Section 44.05 - Expanded EPSDT Services.pdf
Section 64.05 - RESERVED FOR FUTURE USE.pdf
Section 13.05 - Ambulatory Surgical Center - Covered Services.pdf
Section 49.05 - Definitions.pdf
Section 46.05 - Radiopharmaceuticals.pdf
Section 32.05 - Reimbursement.pdf
Section 12.05 - Modes of Transportation Motel Hotel Reimbursement.pdf
Section 17.05 Conditions of Participation.pdf
Section 27.05 - Drug Rebates (NDC DRUG Numbers).pdf
Section 20.05 - Advanced Group Categorical Determinations.pdf
Section 57.05 - Reimbursement.pdf
Section 56.05 - 17 Alpha-Hydroxyprogesterone (17-P).pdf
Section 30.05 - Bone Anchored Hearing Aid (BAHA).pdf
Section 2.05 - Medicaid Cost Sharing LOL.pdf
Section 37.05 Trofile Assay.pdf
Section 16.05 - LOC Eval Reeval.pdf
Section 10.05 - Duplication of Equipment.pdf
Section 3.05 - Medicaid Identification Card.pdf
Section 4.05 - Licensure Expiration.pdf
Section 6.05 - Requests for Medical Information.pdf
Section 7.05 - Healthcare Practitioner Peer Review Protocol.pdf
Section 8.05 - Non-Emergency Ground Ambulance.pdf
Section 11.05 - Oral Evaluations.pdf
Section 53.05 - Hyperbaric Oxygen Therapy (HBOT).pdf
Section 25.05 - Disproportionate Share Hospital - DSH.pdf
Section 1.05 - DOM Addresses and Telephone Numbers.pdf
Section 14.05 - Waiver of Medicaid Services.pdf
Section 52.05 - Endoscopy.pdf
Section 29.05 - Eye Examinations Refractions.pdf
Section 9.05 - Documentation Requirements.pdf
Section 15.05 - Psychosocial Rehabilitative Services.pdf
Section 73.05 - EPSDT Screenings.pdf
Section 18.05 - Assessment.pdf
Section 21.05 - Exclusions.pdf
Section 26.05 - Blood and Blood Components.pdf
Section 28.05 - Lung Transplant Coverage Criteria.pdf
Section 19.05 - Eligibility.pdf
Section 31.05 - Maximum Allowable Cost - MAC.pdf
Section 36.05 - Dual Eligibles.pdf
Section 35.05 - Reimbursement.pdf
Section 38.05 - Billing for Maternity Services.pdf
Section 40.05 - Certification Requirements.pdf
Section 42.05 - Laboratory.pdf
Section 47.05 - Definitions.pdf
Section 41.05 - Documentation Requirements.pdf
Section 48.05 - Definitions.pdf
Section 51.05 - Maternity Anesthesia Services.pdf
Section 55.05 - Routine Venipuncture.pdf
Section 65.05 - Referral Process.pdf
Section 66.05 - Prior Approval Physician Certification.pdf
Section 68.05 - Prior Approval Physician Certification.pdf
Section 69.05 - Prior Approval, Physician Certification.pdf
Section 71.05 - Covered Services for High Risk Pregnant Women.pdf
Section 70.05 - Program Exclusions.pdf
Section 72.05 - Intentionally Left Blank.pdf
Section 76.05 - Covered Services.pdf
Section 75.05 - Freedom of Choice.pdf
Section 77.05 - Vaccines for Adults.pdf
Section 77.06 - Nursing Facility Residents.pdf
Section 75.06 - Reimbursement.pdf
Section 76.06 - INTENTIONALLY LEFT BLANK.pdf
Section 72.06 - Standards of Care.pdf
Section 70.06 - Documentation Record Maintenance.pdf
Section 71.06 - High Risk Infants.pdf
Section 69.06 - Covered Services.pdf
Section 68.06 - Covered Services.pdf
Section 66.06 - Covered Services.pdf
Section 65.06 - Prior Approval Physician Certification.pdf
Section 55.06 - Hospital Inpatient Visits Consultation.pdf
Section 51.06 - Billing for Procedures-Maternity and Non-Maternity.pdf
Section 41.06 - RESERVED FOR FUTURE USE.pdf
Section 47.06 - Therapy Assistants, Aides and Students.pdf
Section 42.06 - Physical Therapy.pdf
Section 40.06 - Physician Responsibilites.pdf
Section 38.06 - Delivery and Sterilization.pdf
Section 35.06 - Documentation Requirements.pdf
Section 36.06 - Reimbursement.pdf
Section 31.06 - Covered Pharmacy Services.pdf
Section 19.06 - Admission Review.pdf
Section 28.06 - Liver Transplant Coverage Criteria.pdf
Section 26.06 - Take Home Drugs, Supplies and Equipment.pdf
Section 21.06 - Therapeutic Services.pdf
Section 18.06 - Treatment Planning.pdf
Section 73.06 - Off Site Screenings.pdf
Section 15.06 - Medical Services.pdf
Section 9.06 - Dual Eligibles.pdf
Section 29.06 - Eyeglasses.pdf
Section 12.06 - Trip Denials.pdf
Section 52.06 - Multiple Birth Deliveries.pdf
Section 14.06 - Election Revocation and Change of Hospice.pdf
Section 1.06 - Mississippi County Codes.pdf
Section 25.06 - Hospital Responsibilities for Physician Services.pdf
Section 53.06 - Reduction Mammoplasty.pdf
Section 11.06 - Radiographs.pdf
Section 8.06 - CoPayment.pdf
Section 7.06 - Administrative Hearings for Providers.pdf
Section 6.06 - Third Party Resources.pdf
Section 4.06 - RESERVED FOR FUTURE USE.pdf
Section 3.06 - Verification of Eligibility.pdf
Section 10.06 - Definitions.pdf
Section 16.06 - Participant Certification Recertification.pdf
Section 37.06 - Independent Laboratory Services.pdf
Section 20.06 - Level II Evaluation.pdf
Section 17.06 Staffing.pdf
Section 46.06 - Teleradiology.pdf
Section 49.06 - Therapy Assistants Aides and Students.pdf
Section 13.06- Ambulatory Surgical Center - Non-Covered Procedures.pdf
Section 48.06 - Therapy Assistants, Aides and Students.pdf
Section 64.06 - RESERVED FOR FUTURE USE.pdf
Section 44.06 - Co-Pay.pdf
Section 43.06 - Co-Payments on Medicaid Services.pdf
Section 43.07 - Pregnancy Related Eligibles.pdf
Section 44.07 - Pregancy Related Eligibles.pdf
Section 64.07 - RESERVED FOR FUTURE USE.pdf
Section 14.07 - Dual Eligibles.pdf
Section 13.07 - Ambulatory Surgical Center - Canceled Procedures.pdf
Section 49.07 - Group Therapy.pdf
Section 15.07 - Reserved for Future Use.pdf
Section 17.07 Psychiatric-Psychological Evaluation and Level of Care Determination.pdf
Section 72.07 - Beneficiary Cost Sharing.pdf
Section 20.07 - Obtaining Level II Evaluation.pdf
Section 35.07 Coverage Criteria.pdf
Section 16.07 - Covered Services.pdf
Section 10.07 - Documentation.pdf
Section 3.07 - Freedom of Choice of Providers.pdf
Section 4.07 - Advertising by Provider.pdf
Section 7.07 - Administrative Hearings - Eligibility Decisions.pdf
Section 8.07 - Injectable Drugs.pdf
Section 11.07 - Preventive Services and Sealants.pdf
Section 53.07 - Billing for Evaluation and Management Services with Allergen Immunotherapy.pdf
Section 25.07 - Blood and Blood Components.pdf
Section 1.07 - Medicaid Regional Offices.pdf
Section 52.07 - Assistant Surgeon.pdf
Section 12.07 - Trip Documentation Requirements.pdf
Section 29.07 - Lens Coating.pdf
Section 73.07 - Documentation Requirements.pdf
Section 18.07 - Treatment Definitions.pdf
Section 21.07 - Evaluative Services.pdf
Section 26.07 - Transportation of Patients.pdf
Section 28.07 - Organ Acquisition.pdf
Section 19.07 - Per Diem - Covered Services.pdf
Section 31.07 - Non-Convered Pharmacy Services.pdf
Section 36.07 - Per Diem Covered Services.pdf
Section 38.07 - Post Operative Pain Management.pdf
Section 40.07 - Co-Payment.pdf
Section 42.07 - Radiology.pdf
Section 47.07 - Group Therapy.pdf
Section 41.07 - Dual Eligibles.pdf
Section 48.07 - Group Therapy.pdf
Section 51.07 - Maternity Epidurals.pdf
Section 55.07 - Removal of Impacted Cerumen.pdf
Section 65.07 - Covered Services.pdf
Section 66.07 - Quality Management.pdf
Section 68.07 - Quality Management.pdf
Section 69.07 - Quality Assurance Standards.pdf
Section 71.07 - Covered Services for High Risk Infants.pdf
Section 76.07 - Audiological Services.pdf
Section 76.08 - Psychological Services.pdf
Section 71.08 - Plan of Care.pdf
Section 69.08 - Document and Record Keeping.pdf
Section 68.08 - Documentation Record Maintenance.pdf
Section 66.08 - Documentation Record Maintenance.pdf
Section 65.08 - Quality Management.pdf
Section 55.08 - Post Operative Pain Management.pdf
Section 51.08 - Post Operative Pain Management.pdf
Section 48.08 - Home Therapy Services.pdf
Section 41.08 - Immunizations.pdf
Section 47.08 - Home Health Therapy Services.pdf
Section 42.08 - Routine Foot Care.pdf
Section 40.08 - Documentation Requirements.pdf
Section 36.08 - Admission Requirements.pdf
Section 31.08 - Additional Coverage for Children Under Age 21.pdf
Section 19.08 - Prior Authorization.pdf
Section 26.08 - Change of Ownership.pdf
Section 21.08 - Documentation Requirements.pdf
Section 18.08 - Treatment Requirements.pdf
Section 73.08 - Additional Services.pdf
Section 29.08 - Contact Lenses.pdf
Section 12.08 - Driver Requirements.pdf
Section 52.08 - Co_Surgeons.pdf
Section 1.08 - INTENTIONALLY LEFT BLANK.pdf
Section 14.08 - Covered Services.pdf
Section 25.08 - Newborn Child Eligibility.pdf
Section 53.08 - Abortion.pdf
Section 11.08 - Space Maintainers.pdf
Section 8.08 - Mileage.pdf
Section 4.08 - Change of Tax ID.pdf
Section 3.08 - Beneficiary Cost Sharing.pdf
Section 10.08 - Alert Signalers.pdf
Section 16.08 - Quality Management Strategy.pdf
Section 7.8 - Administrative Hearings for Beneficiaries.pdf
Section 20.08 - Credential Requirements for Level II Evaluators.pdf
Section 46.08 - Drug Rebates (NDC Drug Numbers).pdf
Section 38.08 - Terbutaline Therapy.pdf
Section 72.08 - Primary Care Referrals.pdf
Section 15.08 - Reserved For Future Use.pdf
Section 17.08 Individualized Service Plan (ISP).pdf
Section 49.08 - Home Health Therapy Services.pdf
Section 13.08 - Ambulatory Surgical Center - Reimbursement.pdf
Section 28.08 - Fundraising.pdf
Section 64.08 - PAS Instrument Components.pdf
Section 44.08 - Documentation Requirements.pdf
Section 43.08 - Documentation Requirements.pdf
Section 43.09 - Prior Authorization.pdf
Section 41.09 - Unused Injectable Drugs.pdf
Section 44.09 - Prior Authorization.pdf
Section 64.09 - PAS Completion and Submission.pdf
Section 13.09 - Ambulatory Surgical Center - Bilateral Procedures.pdf
Section 49.09 - Prior Authorization - Pre-certification.pdf
Section 7.09 - Fundraising.pdf
Section 17.09 Service Requirements.pdf
Section 4.09 - All Providers.pdf
Section 15.09 - Reserved for Future Use.pdf
Section 72.09 - Documentation Record Maintenance.pdf
Section 20.09 - PASRR MI MR Forms.pdf
Section 38.09 - 17 Alpha-Hydroxyprogesterone (17-P).pdf
Section 16.09 - Reimbursement.pdf
Section 10.09 - Ambu Bag (Bag-Mask-Valve-Resuscitator).pdf
Section 3.09 - Charges Not Beneficiary's Responsibility.pdf
Section 8.09 - Codes and Descriptions.pdf
Section 11.09 - Restorative Services.pdf
Section 53.09 - Keloids.pdf
Section 25.09 - Maternity Epidurals.pdf
Section 14.09 - Special Coverage Requirements.pdf
Section 1.09 - Fiscal Agent Information.pdf
Section 52.09 - Team Surgeons.pdf
Section 12.09 - Vehicle Requirements.pdf
Section 29.09 - Cataract Ocular Surgery.pdf
Section 73.09 - Expanded Services.pdf
Section 18.09 - Special Procedures.pdf
Section 21.09 - Consent to Bill Medicaid.pdf
Section 26.09 - Co-Payment.pdf
Section 28.09 - Prior Approval.pdf
Section 19.09 - Reimbursement.pdf
Section 31.09 - Prescription Requirements.pdf
Section 36.09 - Eligibility.pdf
Section 40.09 - Home Health Services Provided in Another State.pdf
Section 42.09 - Routine Foot Care - Systemic Conditions.pdf
Section 47.09 - Prior Authorization Pre-certification.pdf
Section 48.09 - Prior Authorization Pre-certification.pdf
Section 55.09 - Locum Tenens Reciprocal Billing Arrangement.pdf
Section 65.09 - Documentation Record Maintenance.pdf
Section 66.09 - Beneficiary Cost Sharing.pdf
Section 68.09 - Beneficiary Cost Sharing.pdf
Section 69.09 - Beneficiary Cost Sharing.pdf
Section 71.09 - Documentation Timeline for PHRM-ISS Services.pdf
Section 76.09 - Psychotherapy Services.pdf
Section 76.10 - Occupational Therapy and Physical Therapy.pdf
Section 69.10 - Reimbursement.pdf
Section 68.10 - Reimbursement.pdf
Section 66.10 - Reimbursement.pdf
Section 65.10 - Beneficiary Cost Sharing.pdf
Section 48.10 - Prescribing Provider Orders Responsibiities.pdf
Section 47.10 - Prescribing Provider Orders Responsibilities.pdf
Section 42.10 - Supplies Surgical Trays.pdf
Section 40.10 - Moratorium.pdf
Section 36.10 - Temporary Leave Payment.pdf
Section 31.10 - Refills Renewals of Prescription Drugs.pdf
Section 19.10 - Temporary Leave Payment.pdf
Section 12.10 - Telephone System Requirements.pdf
Section 28.10 - Facility Criteria.pdf
Section 26.10 - Documentation Requirements.pdf
Section 21.10 - Reserved For Future Use.pdf
Section 18.10 - Documentation Requirements.pdf
Section 29.10 - Ocular Prosthesis Artificial Eye.pdf
Section 52.10 - Modifiers.pdf
Section 1.10 - Utilization Management Quality Improvement Organization.pdf
Section 25.10 - Take Home Drugs Supplies and Equipment.pdf
Section 53.10 - Physician Assistants.pdf
Section 11.10 - Endodontics.pdf
Section 8.10 - Exclusions.pdf
Section 3.10 - Charges Beneficiary's Responsibility.pdf
Section 10.10 - Apnea Monitors.pdf
Section 16.10 - Critical Events Incidents.pdf
Section 41.10 Drug Rebates (NDC Drug Numbers).pdf
Section 20.10 - Submission of the Completed Level II Evaluatin to ARC.pdf
Section 15.10 - Reserved for Future Use.pdf
Section 4.10 - Ambulance.pdf
Section 17.10 Clinical Documentation Requirements.pdf
Section 49.10 - Prescribing Provider Orders - Responsibilites.pdf
Section 13.10 - Ambulatory Surgical Center - Payment for Multiple Procedures.pdf
Section 14.10 - Reimbursement.pdf
Section 64.10 - PAS Documentation of Informed Choice.pdf
Section 44.10 - Encounter Services.pdf
Section 71.10 - Medical Record Documentation Requirements.pdf
Section 7.10 - Limited English Proficiency Plan (LEP).pdf
Section 43.10 - Encounter Services.pdf
Section 43.11 - Vision.pdf
Section 44.11 - Vision , Eyeglasses.pdf
Section 64.11 - PAS Initial Clinical Eligibility Determination.pdf
Section 14.11 - Payment Groups by Counties.pdf
Section 13.11 - Ambulatory Surgical Center - Endoscopy.pdf
Section 49.11 - Evaluation - Re-Evaluation.pdf
Section 17.11 Special Procedures.pdf
Section 4.11 - Ambulatory Surgical Center.pdf
Section 15.11 - Reserved for Future Use.pdf
Section 20.11 - Specialized Services.pdf
Section 16.11 - Medication Mangement.pdf
Section 7. 11 - Audit Policy.pdf
Section 68.11 - Hearings and Appeals.pdf
Section 21.11 - Reserved For Future Use.pdf
Section 8.11 - Documentation Requirements.pdf
Section 10.11 - Augmentative Communication Device.pdf
Section 11.11 - Periodontic Procedures.pdf
Section 53.11 - Physician Office Visits - Extended Hours.pdf
Section 25.11 - Transplants.pdf
Section 1.11 - Retrospective DUR Information.pdf
Section 52.11 - CPT Codes Exempt From Multiple Surgery Rules.pdf
Section 29.11 - Eyeglasses Hearing Aid Authorization Form.pdf
Section 12.11 - Monitoring Quality Assurance.pdf
Section 18.11 - Continued Stay.pdf
Section 26.11 - Out of State Facilities.pdf
Section 28.11 - Transportation Lodging.pdf
Section 19.11 - Resident Funds.pdf
Section 31.11 - Generic Mandates for Prescription Drugs.pdf
Section 36.11 - Resident Assessments Minimum Data Set (MDS) Plus.pdf
Section 40.11 - RESERVED FOR FUTURE USE.pdf
Section 42.11 - Casts, Splinting or Strapping in Office Setting.pdf
Section 47.11 - Evaluation, Re-Evaluation.pdf
Section 48.11 - Evaluation Re-Evaluation.pdf
Section 55.11 - Supplies Surgical Trays.pdf
Section 65.11 - Reimbursement.pdf
Section 66.11 - Due Process Protection.pdf
Section 69.11 - Due Process Protection.pdf
Section 76.11 - INTENTIONALLY LEFT BLANK.pdf
Section 71.11 - PHRM-ISS Forms.pdf
Section 69.12 - Hearings and Appeals.pdf
Section 66.12 - Hearings and Appeals.pdf
Section 65.12 - Due Process Protection.pdf
Section 48.12 - Plan of Care.pdf
Section 47.12 - Plan of Care.pdf
Section 42.12 - Supportive Devices Shoes.pdf
Section 40.12 - Reimbursement.pdf
Section 36.12 - Case Mix Guidelines.pdf
Section 31.12 - Prior Authorization.pdf
Section 19.12 - Utilization Review.pdf
Section 26.12 - Mental Health Services.pdf
Section 18.12 - Discharge Aftercare.pdf
Section 12.12 - Complaint Resolution Grievance and Appeal Process.pdf
Section 29.12 - Dual Eligibles.pdf
Section 52.12 - Post Operative Pain Management.pdf
Section 14.12 - Documentation Requirements.pdf
Section 25.12 - Transportatin of Patients.pdf
Section 53.12 - Cochlear Implant.pdf
Section 11.12 - Prosthodontics - Removable.pdf
Section 10.12 - Bath Bench - Shower Chair.pdf
Section 8.12 - Billing Claims on CMS-1500.pdf
Section 21.12 - Reserved For Future Use.pdf
Section 16.12 - Reserved for Future Use.pdf
Section 20.12 - ARC Determination Form.pdf
Section 15.12 - Reserved for Future Use.pdf
Section 4.12 - Audiologist - Hearing Aid Dealer.pdf
Section 17.12 Discharge Transition Planning.pdf
Section 49.12 - Plan of Care.pdf
Section 55.12 - Radiopharmaceuticals.pdf
Section 13.12 - Ambulatory Surgical Center - Hysterectomy.pdf
Section 28.12 - Home Health Services.pdf
Section 64.12 - PAS Secondary Clinical Reviews.pdf
Section 44.12 - Dental.pdf
Section 43.12 - Dental.pdf
Section 43.13 - Solid Organ Tissue Transplant.pdf
Section 55.13 - Teaching Facilities Billing for Resident Services.pdf
Section 44.13 - Solid Organ Tissue Transplant.pdf
Section 64.13 - PAS Notice of Long Term Care Determination.pdf
Section 13.13 - Ambulatory Surgical Center - Sterilization.pdf
Section 49.13 - Maintenance Therapy.pdf
Section 4.13 - Community Mental Health Centers - CMHC.pdf
Section 15.13 - Reserved for Future Use.pdf
Section 17.13 Grievances, Appeals and Fair Hearing Rights.pdf
Section 20.13 - Significant Change Form.pdf
Section 16.13 - Documentation and Record Maintenance.pdf
Section 21.13 - Reserved For Future Use.pdf
Section 8.13 - Transport of Nursing Facility Residents.pdf
Section 10.13 - Battery and Battery Charger.pdf
Section 11.13 - Oral Surgery.pdf
Section 53.13 - Tobacco Cessation.pdf
Section 25.13 - Change of Ownership.pdf
Section 14.13 - Transportation.pdf
Section 52.13 - Modifier -54, -55 and -56.pdf
Section 29.13 - Documentation.pdf
Section 12.13 - Fraud.pdf
Section 18.13 - Resident Funds.pdf
Section 26.13 - NonConvered Procedures.pdf
Section 28.13 - Immunosuppressive Treatment.pdf
Section 19.13 - Release of Information.pdf
Section 31.13 - Over the Counter OTC Drugs.pdf
Section 36.13 - Resident Funds (42 CFR 483.10).pdf
Section 40.13 - Dual Eligibles.pdf
Section 42.13 - Surgery Guidelines.pdf
Section 47.13 - Maintenance Therapy.pdf
Section 48.13 - Maintenance Therapy.pdf
Section 65.13 - Hearings and Appeals.pdf
Section 48.14 - Long Term Therapy.pdf
Section 47.14 - Long Term Therapy.pdf
Section 42.14 - Avulsions, Excision of Nail, Nail Matrix for Ingrown Toenails and Other Conditions.pdf
Section 36.14 - Nurse Aide Training.pdf
Section 31.14 - Total Parenteral Nutrition.pdf
Section 28.14 - Documentation Requirements.pdf
Section 26.14 - Outpatient 23-Hour Observation Services.pdf
Section 18.14 - PRTF Reimbursement.pdf
Section 12.14 - Liquidation Damages.pdf
Section 52.14 - Enterra Therapy.pdf
Section 25.14 - Co-Payment.pdf
Section 53.14 - Abdominal Panniculectomy (Abdominoplasty, Abdominodermatolipectomy).pdf
Section 11.14 - Injectable Medications.pdf
Section 10.14 - BIPAP with or without an In-Line Heated Humidifier.pdf
Section 8.14 - Transport of Dual Eligibles.pdf
Section 21.14 - Reserved For Future Use.pdf
Section 16.14 - Beneficiary Cost Sharing.pdf
Section 55.14 - Insertion of Retisert (Fluocinolone Acetonide Intravitreal Implant).pdf
Section 20.14 - Confidentiality Safeguards.pdf
Section 7.14 - False Claims Act.pdf
Section 15.14 - Reserved for Future Use.pdf
Section 4.14 - Comprehensive Outpatient Rehabilitation Facility - CORF.pdf
Section 17.14 Critical Incidents Occurrences.pdf
Section 49.14 - Long Term Therapy.pdf
Section 13.14 - Ambulatory Surgical Center - Abortion.pdf
Section 29.14 - Reserved for Future Use.pdf
Section 64.14 - PAS Eligibility Periods.pdf
Section 44.14 - RESERVED FOR FUTURE USE.pdf
Section 43.14 - RESERVED FOR FUTURE USE.pdf
Section 43.15 - Hospital Services.pdf
Section 44.15 - Hospital Services.pdf
Section 64.15 - PAS Medicaid Long Term Care Expedited.pdf
Section 29.15 - Lacrimal Punctum Plugs.pdf
Section 13.15 - Ambulatory Surgical Center - Corneal Tissue Transplants.pdf
Section 49.15 - Documentation.pdf
Section 17.15 Reporting Requirements.pdf
Section 4.15 - CRNA - Nurse Practitioner - Nurse Midwife - Physician Assistant.pdf
Section 15.15 - Reserved for Future Use.pdf
Section 20.15 - Appeal Process.pdf
Section 55.15 - Unused Injectable Drugs.pdf
Section 16.15 - Grievances and Complaints.pdf
Section 8.15 - Subscription Programs.pdf
Section 10.15 - Bilirubin Light - Bili-Blanket.pdf
Section 11.15 - Consultations.pdf
Section 25.15 - Documentation Requirements.pdf
Section 52.15 - Casting, Splinting or Strapping in Office Setting.pdf
Section 12.15 - Definitions.pdf
Section 18.15 - Eligibility Determination.pdf
Section 21.15 - Limitations to Service Provision.pdf
Section 26.15 - Outpatient Therapies.pdf
Section 28.15 - Reimbursement.pdf
Section 31.15 - Tobacco Cessation.pdf
Section 36.15 - Release of Information.pdf
Section 42.15 - Debridement.pdf
Section 47.15 - Documentation.pdf
Section 48.15 - Documentation.pdf
Section 48.16 - Dual Eligibles.pdf
Section 47.16 - Dual Eligibles.pdf
Section 42.16 - Flat Foot.pdf
Section 36.16 - Pharmacy.pdf
Section 31.16 - Medicare-covered Drugs.pdf
Section 28.16 - Third Party Liability.pdf
Section 26.16 - Outpatient Visit Limitations.pdf
Section 21.16 - Prior Authorization.pdf
Section 18.16 - Exchange of Information Between the PRTF and the Medicaid Regional Office.pdf
Section 12.16 - Reserved for Future Use.pdf
Section 52.16 - Supplies Surgical Trays.pdf
Section 25.16 - Therapy.pdf
Section 11.16 - Report Procedure Codes.pdf
Section 53.16 - Mobile Medical Units Other Than Independent Diagnositc Treatment Facilities (IDTF).pdf
Section 10.16 - Blood Pressure Apparatus with Cuff and Stethoscope.pdf
Section 8.16 - Multiple Patients Arrivals.pdf
Section 16.16 - Appeals and Hearings.pdf
Section 29.16 - Drug Rebates (NDC Drug Numbers).pdf
Section 20.16 - Contact Information.pdf
Section 13.16 - Ambulatory Surgical Center - Dentoalveolar Structures CPT 41899.pdf
Section 55.16 - Terbutaline Therapy.pdf
Section 15.16 - Reserved for Future Use.pdf
Section 4.16 - Dentist.pdf
Section 17.16 Reserved for Future Use.pdf
Section 49.16 - Dual Eligibles.pdf
Section 64.16 - PAS Appeals.pdf
Section 44.16 - CoMingling.pdf
Section 43.16 - Unused Injectable Drugs.pdf
Section 44.17 - Unused Injectable Drugs.pdf
Section 64.17 - PAS Level II Requirements for Mental Illness (MI) or Mental Retardation (MR).pdf
Section 4.17 - Dietitian - Nutritionist.pdf
Section 13.17 - Insertion of Retisert (Fluocinolone Acetonide Intravitreal Implant).pdf
Section 15.17 - Reserved for Future Use.pdf
Section 20.17 - RESERVED FOR FUTURE USE.pdf
Section 8.17 - Unused Injectable Drugs.pdf
Section 55.17 - Drug Rebate (NDC Drug Numbers).pdf
Section 17.17 Reserved for Future Use.pdf
Section 10.17 - Breast Prosthesis, External.pdf
Section 11.17 - Prior Authorization Treatment.pdf
Section 25.17 - Out of State Facilities.pdf
Section 18.17 - Contact Information.pdf
Section 21.17 - Post Utilization Review.pdf
Section 26.17 - Outpatient Hospital Services.pdf
Section 28.17 - Dual Eligibles.pdf
Section 31.17 - Long Term Care Facilities.pdf
Section 36.17 - Out-of-State Placements.pdf
Section 42.17 - Fungal Disease of the Toenails-Onychomycosis.pdf
Section 52.17 - Lacrimal Punctum Plugs.pdf
Section 42.18 - Hammertoe.pdf
Section 36.18 - Therapy Services.pdf
Section 31.18 - Return of Unused Medications for LTC Facilities.pdf
Section 18.18 - Reporting Requirements.pdf
Section 28.18 - Small Bowel Coverage Criteria.pdf
Section 26.18 - Dual Eligibles.pdf
Section 21.18 - Clinical Record Review Process.pdf
Section 25.18 - RESERVED FOR FUTURE USE.pdf
Section 11.18 - Covered Orthodontic Services.pdf
Section 53.18 - Physical Examinations.pdf
Section 10.18 - Breast Pump, Electric.pdf
Section 17.18 Reserved for Future Use.pdf
Section 55.18 - Implantable Testosterone Pellets (Testopel).pdf
Section 8.18 - Drug Rebates (NDC Drug Numbers).pdf
Section 20.18 - RESERVED FOR FUTURE USE.pdf
Section 15.18 - Reserved for Future Use.pdf
Section 4.18 - Durable Medical Equipment Provider.pdf
Section 13.18 - Co-Payment.pdf
Section 52.18 - Skin Tag Removal.pdf
Section 8.19 - Reimbursement.pdf
Section 18.19-Reserved For Future Use.pdf
Section 15.19 - Reserved for Future Use.pdf
Section 4.19 - Federally Qualified Health Clinic.pdf
Section 20.19 - RESERVED FOR FUTURE USE.pdf
Section 36.19 - Feeding Assistant Program.pdf
Section 17.19 Reserved for Future Use.pdf
Section 55.19 - Psychiatry.pdf
Section 10.19 - Buggy - Stroller, Adaptive.pdf
Section 53.19 - Failed Sterilization Procedures.pdf
Section 11.19 - Documentation Requirements.pdf
Section 25.19 - Non-Covered Procedures.pdf
Section 21.19 - Therapeutic Services Record Review.pdf
Section 26.19 - Canceled Procedures.pdf
Section 31.19 - Pharmacy Disease Management.pdf
Section 42.19 - Paronychia.pdf
Section 42.20 - Subluxation of the Foot.pdf
Section 26.20 - Outpatient Dialysis.pdf
Section 21.20 - Psychological Evaluation Record Review.pdf
Section 25.20 - Implantable Programmable Baclofen Pumps.pdf
Section 11.20 - Authorization Prior Authorization Authorization Prior to Billing.pdf
Section 10.20 - Cane.pdf
Section 17.20 Reserved for Future Use.pdf
Section 18.20-Reserved For Future Use.pdf
Section 20.20 - RESERVED FOR FUTURE USE.pdf
Section 53.20 - Medical Visit Editing.pdf
Section 4.20 - Group Providers.pdf
Section 15.20 - Reserved for Future Use.pdf
Section 8.20 - Transport of Hospice Beneficiaries.pdf
Section 52.20 - Bone Anchored Hearing Aid (BAHA).pdf
Section 31.20 - Identification of Prescribers.pdf
Section 31.21 - Beneficiary Signature.pdf
Section 11.21 - Dental Benefit Limits.pdf
Section 52.21 - Otoplasty.pdf
Section 15.21 - Reserved for Future Use.pdf
Section 4.21 - HCBS Waiver for People with Intellectual Disabilites or Developmental Disabilities.pdf
Section 20.21 - RESERVED FOR FUTURE USE.pdf
Section 18.21-Reserved For Future Use.pdf
Section 17.21 Reserved for Future Use.pdf
Section 10.21 - Car Seats, Special Needs.pdf
Section 53.21 - Blepharoplasty.pdf
Section 25.21 - RESERVED FOR FUTURE USE.pdf
Section 26.21 - Split Billing.pdf
Section 42.21 - Viral Plantar Warts.pdf
Section 42.22 - Non-INvasive Vascular Testing by Doctors of Podiatric Medicine.pdf
Section 26.22 - Cost Reports.pdf
Section 31.22 - Documentation Requirements.pdf
Section 25.22 - Dual Eligibles.pdf
Section 53.22 - Medically Necessary.pdf
Section 11.22 - Anesthesia.pdf
Section 17.22 Reserved for Future Use.pdf
Section 18.22-Reserved For Future Use.pdf
Section 20.22 - RESERVED FOR FUTURE USE.pdf
Section 4.22 - Home Health Agency.pdf
Section 15.22 - Reserved for Future Use.pdf
Section 52.22 - Uvulopalatopharyngoplasty.pdf
Section 10.22 - Reserved for Future Use.pdf
Section 15.23 - Reserved for Future Use.pdf
Section 4.23 - Hospice.pdf
Section 20.23 - RESERVED FOR FUTURE USE.pdf
Section 18.23-Reserved For Future Use.pdf
Section 17.23 Reserved for Future Use.pdf
Section 11.23 - Bone Replacement Graft.pdf
Section 53.23 - Male Gynecomastia.pdf
Section 25.23 - Canceled Procedures.pdf
Section 10.23 - Chest Precussor.pdf
Section 31.23 - Durable Medical Equipment Medical Supplies.pdf
Section 26.23 - Outpatient Rates.pdf
Section 42.23 - Surgical and Medical Visits.pdf
Section 42.24 - Exclusions Relating to Foot Care.pdf
Section 26.24 - Sterilization.pdf
Section 31.24 - Preferred Drug List.pdf
Section 10.24 - Cold Pad - Pump, Water Circulating.pdf
Section 25.24 - Psychiatric Services - Geropsychiatric Unit.pdf
Section 53.24 - Post-Operative Pain Management.pdf
Section 11.24 - Occlusal Guard.pdf
Section 17.24 Reserved for Future Use.pdf
Section 18.24-Reserved For Future Use.pdf
Section 20.24 - RESERVED FOR FUTURE USE.pdf
Section 4.24 - Hospital-Psychiatric Hospital -Swing bed.pdf
Section 15.24 - Reserved for Future Use.pdf
Section 15.25 - Reserved for Future Use.pdf
Section 4.25 - Intermediate Care Facility - Mentally Retarded - ICFMR.pdf
Section 20.25 - RESERVED FOR FUTURE USE.pdf
Section 31.25 - Pharmacy Claims Reversals.pdf
Section 18.25-Reserved For Future Use.pdf
Section 17.25 Reserved for Future Use.pdf
Section 11.25 - Pregnancy Related Eligibles.pdf
Section 53.25 - Vagus Nerve Stimulation for Treatment of Depression.pdf
Section 25.25 - Prior Authorization of Inpatient Hospital Services.pdf
Section 10.25 - Commode Chairs and Other Toileting Aids.pdf
Section 26.25 - Abortion.pdf
Section 42.25 - Nerve Block Injections.pdf
Section 42.26 - Consultation Services Rendered by a Podiatrist In a Skilled Nursing Facility.pdf
Section 26.26 - Newborn Hearing Screens.pdf
Section 31.26 - Cost Avoidance Prescription Drug Claims.pdf
Section 10.26 - Compressors.pdf
Section 25.26 - Split Billing.pdf
Section 53.26 - Hyaluronate Joint Injection.pdf
Section 18.26-Reserved For Future Use.pdf
Section 17.26 Reserved for Future Use.pdf
Section 20.26 - RESERVED FOR FUTURE USE.pdf
Section 11.26 - Unused Injectable Drugs.pdf
Section 4.26 - Independent Laboratory and Radiology.pdf
Section 15.26 - Reserved for Future Use.pdf
Section 15.27 - Reserved for Future Use.pdf
Section 4.27 - Kidney Dialysis Facility.pdf
Section 42.27 - Drug Rebates (NDC Drug Numbers).pdf
Section 20.27 - RESERVED FOR FUTURE USE.pdf
Section 31.27 - Tamper Resistant Prescription Pads.pdf
Section 17.27 Reserved for Future Use.pdf
Section 18.27-Reserved For Future Use.pdf
Section 53.27 - Modifier -54, -55 and -56.pdf
Section 25.27 - Inpatient Per Diem Rates.pdf
Section 10.27 - CPAP with or without an In-Line Heated Humidifier.pdf
Section 10.28 - Corner Chair.pdf
Section 25.28 - Cost Reports.pdf
Section 53.28 - Enterra Therapy.pdf
Section 18.28-Reserved For Future Use.pdf
Section 17.28 Reserved for Future Use.pdf
Section 20.28 - RESERVED FOR FUTURE USE.pdf
Section 4.28 - Licensed Certified Social Worker - LCSW.pdf
Section 15.28 - Reserved for Future Use.pdf
Section 26.28 - Radiopharmaceuticals.pdf
Section 15.29 - Reserved for Future Use.pdf
Section 20.29 - RESERVED FOR FUTURE USE.pdf
Section 4.29 - Nursing Facility.pdf
Section 17.29 Reserved for Future Use.pdf
Section 18.29-Reserved For Future Use.pdf
Section 53.29 - Casting, Splinting or Strapping in Office Setting.pdf
Section 25.29 - Sterilization.pdf
Section 10.29 - Covered Cribs.pdf
Section 10.30 - Cradle - Overbed.pdf
Section 25.30 - Hysterectomy.pdf
Section 4.30 - Occupational - Physical Therapist.pdf
Section 26.30- Insertion of Retisert (Fluocinolone Acetonide Intravitreal Implant).pdf
Section 20.30 - Reimbursement for PASRR Evaluations.pdf
Section 17.30 On-Site Compliance Review.pdf
Section 53.30 - Wellness Policy.pdf
Section 15.30 - Billing Guidlines.pdf
Section 18.30 - OnSite Compliance Review Process - OSCR.pdf
Section 53.31 - Sleep Disorder Studies.pdf
Section 17.31 Administrative Section - Document Review.pdf
Section 26.31- Trauma Team Activaiton Response.pdf
Section 4.31 - Optical Dispensary.pdf
Section 25.31 - Abortion.pdf
Section 10.31 - Crutches.pdf
Section 18.31 - CRI Administrative Section - Document Review.pdf
Section 18.32 - CRI - Program Section A - Facility Tour.pdf
Section 10.32 - Diapers and Underpads.pdf
Section 25.32 - Newborn Hearing Screens.pdf
Section 4.32 - Optometrist.pdf
Section 17.32 Program Section A - Document Review.pdf
Section 53.32 - Botulinum Toxins A and B.pdf
Section 17.33 Program Section B - Staff Interviews.pdf
Section 4.33 Pharmacy Disease Management.pdf
Section 53.33 - Otoplasty.pdf
Section 25.33 - Mississippi Department of Human Services County Directory.pdf
Section 10.33 - Salivary Reflex Stimulator.pdf
Section 18.33 - CRI - Program Section B - Document Review.pdf
Section 18.34 - CRI - Program Section C - Staff Interviews.pdf
Section 10.34 - EMG - Biofeedback Device.pdf
Section 4.34 - Physician-Osteopath-Chiropractor-Podiatrist.pdf
Section 17.34 Services Section A - Participant Record Review.pdf
Section 17.35 Program Section B - Participant Interview, Family Interview, and Home Visit.pdf
Section 4.35 - Private Duty Nursing Agency.pdf
Section 25.35 - Trauma Team Activation Response.pdf
Section 53.35 - Ventricular Assist Device.pdf
Section 10.35 - Floor Sitter.pdf
Section 18.35 - CRI - Clinical Services Section A - Resident Record Review.pdf
Section 18.36 - CRI - Clinical Services Section B - Resident Interviews.pdf
Section 10.36 - Gait Trainer.pdf
Section 25.36 - Sterilization Delivery Same Admission.pdf
Section 4.36 - Psychologist.pdf
Section 53.36 - Insertion of Retisert (Fluocinolone Acetonide Intravitreal Implant).pdf
Section 17.36 Program Section C - Wraparound Team Meeting Observation.pdf
Section 25. 37 - Independent Laboratory Services.pdf
Section 4.37 - Rural Health Clinic.pdf
Section 10.37 - Glucose Monitor and Replacement Battery.pdf
Section 10.38 - Heat Appliances.pdf
Section 4.38 - Speech Therapist.pdf
Section 53.38 - Breast Reconstruction for Symmetry.pdf
Section 53.39 - Unused Injectable Drugs.pdf
Section 4.39 - Long Term Care - HCBS Waiver Services - Excluding Intellectual Disabilities - Developmental Disabilities Waiver.pdf
Section 10.39 - Heat Lamp.pdf
Section 10.40 - Home Dialysis Equipment.pdf
Section 4.40 - Psychiatric Residential Treatment Facilities - PRTF.pdf
Section 53.40 - Implantable Testosterone Pellets (Testopel).pdf
Section 4.41 - Pharmacy.pdf
Section 53.41 - Tamper Resistant Prescription Pad.pdf
Section 10.41 - Hospital Bed.pdf
Section 10.42 - Humidifier.pdf
Section 53.42 - Consent for Minors.pdf
Section 10.43 - Hydraulic Lift with Seat or Sling.pdf
Section 10.44 - Incontinent Pads (Blue Pads - Underpads).pdf
Section 10.45 - Infusion Pumps, Enteral - Parenteral - External.pdf
Section 10.46 - Intermittent Positive Pressure Breathing Maching (IPPB).pdf
Section 10.47 - Insulin Pump.pdf
Section 10.48 - IV Pole.pdf
Section 10.49 - Jaw Motion Rehabilitation System.pdf
Section 10.50 - Nebulizer.pdf
Section 10.51 - Neuromuscular Electrical Stimulator (NMES).pdf
Section 10.52 - Orthotics - Orthopedic Footwear.pdf
Section 10.53 - Osteogenesis Stimulator (Bone Growth Stimulator).pdf
Section 10.54 - Overbed Table.pdf
Section 10.55 - Oxygen and Oxygen Related Equipment.pdf
Section 10.56 - Pacemaker Monitor.pdf
Section 10.57 - Paraffin Bath Unit.pdf
Section 10.58 - Peak Flow Meter.pdf
Section 10.59 - Pneumatic Compressor (Lymphedema Pump).pdf
Section 10.60 - Postural Drainage Board.pdf
Section 10.61 - Power Operated Vehicle (Three or Four Wheels).pdf
Section 10.62 - Pressure Reducing Support Surface.pdf
Section 10.63 - Pressure Support Ventilator (Therapeutic Ventilator).pdf
Section 10.64 - Prosthetic Limbs.pdf
Section 10.65 - Pulse Oximeter.pdf
Section 10.66 - Reflux Sling - Wedge.pdf
Section 10.67 - Restraints.pdf
Section 10.68 - Room Air Purifier.pdf
Section 10.69 - Seat Lift Mechanism for Chair.pdf
Section 10.70 - Side Lyer.pdf
Section 10.71 - Specialized Rehabilitative Equipment.pdf
Section 10.72 - External Speech Processor and Minor Supplies.pdf
Section 10.73 - Suction Pump (Respiratory - Gastric).pdf
Section 10.74 - ThAIRapy Vest (ABI Vest).pdf
Section 10.75 - Traction Equipment.pdf
Section 10.76 - Transcutaneous Electrical Nerve Stimulator.pdf
Section 10.77 - Transfer Board.pdf
Section 10.78 - Trapeze Bars - Equipment.pdf
Section 10.79 - Treadmill Exerciser - Exercycle.pdf
Section 10.80 - Ultraviolet Cabinet.pdf
Section 10.81 - Tocodynamomentry.pdf
Section 10.82 - RESERVED FOR FUTURE USE.pdf
Section 10.83 - Ventilator.pdf
Section 10.84 - Walker.pdf
Section 10.85 - Wheelchair.pdf
Section 10.86 - Wheelchair Accessories and Options.pdf
Section 10.87 - Custom Wheelchairs Drivers and Seating Systems .pdf
Section 10.88 - Whirlpool Equipment.pdf
Section 10.89 - Wigs.pdf
Section 10.90 - Medical Supplies.pdf
Section 10.91 - Medical Supply List.pdf
Section 10.92 - Spacer Aerosol-Holding Chamber to be used with Metered Dose Inhaler(MDI).pdf
Section 10.93 - Recreational Equipment.pdf
Section 10.94 - Sharps Containers.pdf
Section 10.95 - Specialized Feeders.pdf
Section 10.96 - Combination Positive Expiratory Pressure Device.pdf
Section 10.97 - Rehabilitative Self Help Items.pdf
Section 10.98 - Anti-Thumb Sucking Device.pdf
Section 10.99 - Anal Dilator.pdf
Section 10.100 - Enuresis Incontinence Alarms and Sensors.pdf
Section 10.101 - Hip Abductor Pillow Wedge.pdf
Section 10.102 - RESERVED FOR FUTURE USE.pdf
Section 10.103 - Cranial Molding Helmet.pdf
Section 10.104 - Urinary Tract Infection Kits.pdf
Section 10.105 - Height Adjustable Crawler.pdf
Section 10.106 - Combination Head Float with Mini Stabilizing Bar.pdf
Section 10.107 - Weighted Blanket.pdf
Section 10.108 - Custom Wedge Seat Insert.pdf
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Section 67 - RESERVED FOR FUTURE USE


CIVIL RIGHTS STATEMENT DISCLAIMER TERMS OF USE PRIVACY AND SECURITY NOTICE TRANSPARENCY MISSISSIPPI
Sillers Building, 550 High Street Suite 1000, Jackson, MS 39201-1399
telephone: 601-359-6050 or toll free: 1-800-421-2408