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Suggested Billing Guidance for OASAS Part 820 Stabilization and Rehabilitation Treatment Services
1/10/2019 • Posted by Provider Relations

Recommended Bill Types*:  86X; 11X
Recommended Revenue Codes:  1002; 0902

Note:  some specific clearinghouses used by providers have additional edits on certain Bill Type / Revenue Code combinations and providers should work with their clearinghouse or billing vendors to ensure that any editing that prevents this combination is bypassed for successful submission to the plan.

*Providers are required to ensure they are billing distinctly and accurately for the range of services covered in their unique contract and work with their clearinghouse and/or billing vendor to adhere to established UB-04 coding guidelines.

 

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Social Care Network

Starting January 1, 2025, members in our Medicaid Managed Care, HealthierLife (HARP), Fidelis Care at Home, and Wellcare Fidelis Dual Plus plans will have access to a network of service providers to identify and address needs such as housing, food, transportation, and more.

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Required Cultural Competency Training

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To submit prior authorization request types, use the Fidelis Care provider portal.

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Utilization Management (UM)

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