Webapps.driscollhealthplan.com

Driscoll Health Plan

WEBTexas Health Step (aka EPSDT exams) Well-child Exams (99381-99385 or 99391-99395) Family Planning Services for STAR or STAR Kids members Primary care services in a …

Actived: 4 days ago

URL: https://webapps.driscollhealthplan.com/priorauthcheck/

Driscoll Health Plan Medical Necessity Guideline

WEBDriscoll Health Plan follows the policy guideline that respiratory viral panels (R-PCRs) and GI viral panels (GI-PCR) are covered for an immunocompromised, immunosuppressed, …

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Driscoll Health Plan Inpatient and Observation Admission …

WEBPage 3 of 2 Driscoll Health Plan Inpatient and Observation Admission Authorization Requirements • Via telephone call to the DHP UM department, toll free 1-877-455-1053.

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Driscoll Health Plan Medical Necessity Guideline

WEBtreatment protocol. They serve as a therapeutic agent for health maintenance and are required to treat an identified medical condition. Nutritional products, supplies, and …

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Driscoll Health Plan Medical Necessity Guideline

WEBHealth maintenance activity (HMA): - A specific task that requires a higher level of skill to perform than personal care services and that the member could perform for themselves …

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Driscoll Health Plan Medical Necessity Guideline

WEBDriscoll Health Plan (DHP) requires the prior authorization of all requests for Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) services …

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Driscoll Health Plan Medical Necessity Guideline

WEB• Home Health agency nursing Plan of Care (POC) • An allowed practitioner’s review and continued approval of the home health services POC at least every 60 days, or more …

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Clinical Information and Documents To Support Medical …

WEBDriscoll Health Plan (DHP) may request any combination from the following list of clinical information and documents to support medical necessity of requested services. All …

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Driscoll Health Plan Medical Necessity Guideline

WEBDriscoll Health Plan accepts Pediatric Sleep Study (under age 18 years) requests from board-certified or board-eligible physicians when clinical conditions and clinical …

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Dental Managed Care Covered Services

WEBIn conjunction with a Texas Health Steps medical checkup, utilize CPT code 99429 with U5 modifier and diagnosis code Z00121 or Z00129 when billing fluoride varnish. The oral …

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webapps.driscollhealthplan.com

WEBTexas Health Step (aka EPSDT exams) Well-child Exams (99381-99385 or 99391-99395) Family Planning Services for STAR or STAR Kids members Primary care services in a …

Category: Health Go Health

Required for Speech Therapy, Physical Therapy, Occupational …

WEBPROV-UM-015a 03/2024 Therapy Request Checklist Required for Speech Therapy, Physical Therapy, Occupational Therapy Providers: Please provide supporting clinical …

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OUT-OF-NETWORK PROVIDERS

WEBTexas Health Step (aka EPSDT exams) Well-child Exams (99381-99385 or 99391-99395) Family Planning Services for STAR or STAR Kids members Primary care services in a …

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Driscoll Health Plan Medical Necessity Guideline

WEBConfidential: For use only by employees and authorized agents of Driscoll Health Plan. This document contains confidential and proprietary information NOT to be reproduced or …

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webapps.driscollhealthplan.com

WEBhcpcs/cpt4 codes description covered benefits non covered benefits prior authorization effective date; e0986. authorization required. pr man w/c push-rim pow assist

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