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New Out-of-Network Guidelines for FQHC Professional Encounters
... reported under the capitation. Use one of the following FACs: FAC FAC Description (Non-Wrap) 1 Delegated Behavioral ... 5 Delegated Long Term Care Service subcontract 6 Capitated Providers 7 Internal Fee For Service General Claims 8 ...

C-800, Automated Support Systems
... System. Long Term Care authorizes payments to its service providers using this system. Note: If the Social Security ...

Section 8000, Service Authorization System Help File
... through the Financial and Functional wizards to change providers, authorize a pending service or terminate some open ... is selected on the Service Arrangement window. All providers for a particular service in the selected county ... CDS-related, the wizard will display only those contract providers that are CDS for that service and program group and ...

Section 3000, STAR+PLUS HCBS Program Eligibility and Services
... members receive acute care from their Medicare providers. STAR+PLUS does not impact Medicare eligibility or ... at 1-877-633-8747. Day activity and health services (DAHS) providers, adult foster care (AFC) and assisted living facility (ALF) providers are responsible for scheduling transportation for ...