№ files_lp_3_process_7_094223
File format: docx
Character count: 8773
File size: 115 KB
Year:
2014
Region / City:
California
Document Type:
Compliance Notice
Organization:
Signature Networks PLUS
Author:
Signature Networks PLUS
Target Audience:
Medical Providers, Physician Offices
Period of Action:
Starting January 1, 2014
Approval Date:
Not specified
Amendment Date:
Not specified
Price: 8 / 10 USD
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Note:
Year
Topic:
Medical treatment, Workers’ compensation
Document type:
Notice
Target Audience:
Employees receiving medical treatment through MPN
Context:
Notice for employees informing them of the end of coverage under the current MPN and the transition to a new MPN, with no impact on medical treatment.
Year:
2016
Region / City:
United States
Document Type:
Insurance Coverage List
Organization:
Multiple insurance providers
Author:
Not specified
Target Audience:
Employers, Insurance Adjusters
Effective Period:
2016
Approval Date:
Not specified
Modification Date:
Not specified
Year:
Not specified
Region / jurisdiction:
South Carolina
Program:
Medicaid
Document type:
Administrative form
Purpose:
Prior authorization review for inpatient services
Submitting method:
Fax
Fax number:
1-855-300-0082
Responsible organizations:
KePRO; South Carolina Department of Health and Human Services
Provider identification:
National Provider Identifier (NPI); Medicaid ID
Mandatory provider location data:
9-digit ZIP code
Review types:
Initial; Recertification; Change; Cancel; Retrospective review
Service setting:
Inpatient; freestanding inpatient psychiatric
Population focus:
Medicaid members; psychiatric services for children under 21 and adults 65 and older
Eligibility window:
Up to 30 days prior to scheduled services
Clinical information required:
Diagnosis; severity of illness; intensity of services
Approval process:
Subject to medical necessity and eligibility verification
Note:
Year
Theme:
Prior Authorization
Document Type:
Fax Form
Organization / Institution:
Acentra Health, SCDHHS
Target Audience:
Medicaid Providers
Year:
N/A
Region / City:
N/A
Topic:
Medicaid, Prior Authorization, Targeted Case Management
Document Type:
Fax Request Form
Agency / Institution:
Acentra Health
Author:
N/A
Target Audience:
Healthcare providers, Medicaid service providers
Effective Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Organization:
Acentra Health
Program:
South Carolina Department of Health and Human Services (SCDHHS)
Document type:
Administrative form
Purpose:
Prior authorization, recertification, change, or cancellation of outpatient Medicaid services
Submission method:
Fax
Fax number:
1-855-300-0082
Applicable services:
Mental Health Counseling, Therapies (PT, OT, SP), DME, Home Health, Hospice, Autism Spectrum Disorder
Provider identification:
National Provider Identifier (NPI) with 9-digit ZIP Code
Member identification:
Medicaid ID Number
Geographic scope:
South Carolina
Review types:
Initial, Recertification, Change, Cancel, Retrospective Prepayment Review
Governing criteria:
SCDHHS and InterQual guidelines
Associated system:
Atrezzo Connect
Submission timing:
Up to 30 days prior to scheduled services, excluding weekends and holidays
Year:
2026
Region / City:
South Carolina
Theme:
Medicaid, Prior Authorization
Document Type:
Form
Organization / Institution:
KEPRO-SCDHHS
Author:
KePRO
Target Audience:
Medicaid providers
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2019
Region / City:
North Carolina
Subject:
Data Privacy and Security
Document Type:
Best Practices Guide
Institution:
North Carolina Department of Public Instruction
Author:
Division of School Data, Research and Federal Policy
Target Audience:
NC Department of Public Instruction (DPI) staff, school and LEA staff
Period of Validity:
Ongoing
Approval Date:
August 30, 2019
Date of Modifications:
Not specified
Note:
Year
Year:
Not specified
Region / City:
Western Australia
Theme:
Healthcare, Continence Management
Document Type:
Referral Form
Organization / Institution:
Silver Chain
Author:
Not specified
Target Audience:
Medical practitioners, healthcare facilities, and clients
Period of validity:
Not specified
Approval Date:
Not specified
Date of amendments:
Not specified
Year:
2007
Region / City:
USA, Malaysia, Australia
Theme:
Telephony, Fax Solutions, Integration
Document Type:
Product Information
Organization / Institution:
FaxCore Software
Author:
FaxCore Software
Target Audience:
Small and Medium Enterprises (SMEs)
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
Not provided
Region / City:
Greenville, NC
Topic:
Not specified
Document Type:
Contact Information
Organization / Institution:
East Carolina University
Author:
Not provided
Target Audience:
Not specified
Effective Period:
Not specified
Approval Date:
Not provided
Amendment Date:
Not provided
Year:
20__
Region / city:
Mississippi
Subject:
Mental health treatment and outpatient commitment
Document type:
Court order
Organization / institution:
Circuit Court
Author:
Circuit Court Judge
Target audience:
Defendant, legal professionals, healthcare providers
Period of validity:
12 months (unless further order of the Court)
Date of approval:
____________, 20
Date of changes:
None
Year:
2021
Region / City:
New York
Topic:
Affordable Housing, Supportive Housing Services
Document Type:
Letter
Organization:
Federal Home Loan Bank of New York
Author:
[Insert Name of Sponsor or Service Provider]
Target Audience:
AHP General Fund applicants and stakeholders
Effective Period:
Ongoing
Approval Date:
[Insert Date Here]
Date of Changes:
Not applicable
Note:
Year
Theme:
Adoption Assistance
Document Type:
Annual Assurance Form
Agency / Organization:
Ohio Department of Children and Youth
Target Audience:
Adoptive Parents, Eligibility Determiners
Year:
2023
Region / city:
Oregon
Theme:
Behavior Rehabilitation Services, Medicaid
Document Type:
Request form
Institution:
Oregon Health Authority (OHA), Oregon Youth Authority (OYA), Oregon Department of Human Services (ODHS)
Author:
Oregon Health Authority (OHA)
Target audience:
Service providers, parents/guardians, legal representatives
Period of validity:
Current authorization period
Date of approval:
Not specified
Date of changes:
Not specified
Year:
2021
Region / City:
Princeton
Subject:
Biology/Honors Biology
Document Type:
Educational Lesson Plan
Institution:
Princeton High School
Author:
Emily Leitnick, Rachella Fannin, Arionne Smith, Steven Abrams, Matt Bush
Target Audience:
High School Students
Duration:
5 days
Start Date:
January 5, 2022
End Date:
January 11, 2022
Educational Standards:
TEK # B.8A, B.8B, B.8C
Key Concepts:
Taxonomy, Classification, Systematics, Phylogeny
Date Created:
November 1, 2021
Date Revised:
Not specified
Year:
2018
Organization:
Department of Healthcare and Family Services (HFS)
Supporting Agency:
eQHealth Solutions, Inc.
Document Type:
Enrollment Authorization Request Packet
Target Audience:
Youth participants and legal guardians
Submission Period:
Last 30 days of 180-day FSP eligibility
Required Documentation:
Completed forms, financial information, behavioral health treatment history, progress notes, guardian acknowledgements, and updated treatment plan
Method of Submission:
Fax or mail to eQHealth Solutions, Inc.
Location:
Lombard, IL, United States