most laboratory services associated with the two clinical visits.rapid HIV testing and control kits, and.The costs of the following are included in the visit rate, which Medicaid pays directly to the provider: The HIV Counseling (Positive) visit may be billed for any patient with a positive test result (preliminary or confirmed) or for a patient with an established diagnosis of HIV infection.Ĭlinical HIV primary care visits (the Initial/Annual Comprehensive HIV Medical Evaluation and the HIV Monitoring visits) may only be billed for patients with a confirmed diagnosis of HIV infection. The HIV Testing and HIV Counseling without Testing visits may be billed for any patient whose HIV status is unknown or in question. HIV Primary Care Medicaid Program visits may only be billed for patients who remain in the Medicaid fee-for-service system and are not enrolled in managed care. It should be noted, however, that the program has several features which depart from standard Medicaid billing practices.
All Health Care Professionals & Patient Safetyįacilities participating in the HIV Primary Care Medicaid Program must comply with all standard Medicaid billing practices established through the New York State Medicaid Management Information System (MMIS).Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records.
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