To review the HealthHelp clinical guidelines and prior authorization codes for cardiology, advanced radiology/imaging, sleep, and musculoskeletal, visit the medical prior authorizations page. 1-888-383-8762 Learn the basics of how health insurance works—and how UPMC Health Plan's individual and family plans works for you. The Hospice Manual addresses inpatients and outpatients. The Home Health Library includes policies and procedures for all facets of a HHA, including Durable Medical Equipment. 1-800-937-0745 During the transition to the new manual, some policy information will still be available in the policy manuals and ATs. TRICARE Program Manuals - 2008 Edition (T-3) These manuals serve for contracts awarded on or after 06/27/2008 for the North, South, and West Regions along with TQMC, CARS, TOP, and TPharm. • Health Care Programs Manual (HCPM), in effect Dec. 1, 2006, to May 31, 2016 The HCPM provided policy and procedure information for MA and MinnesotaCare. ©MCN Healthcare, 2020. Manage the nuts and bolts of your plan from right here, or log in to your personalized member portal. TTY: 711. Manuals are cross referenced to Joint Commision, AAAHC, Urgent Care Association standards and CMS regulations as applicable. Provide indices by policy name, subject, and sponsoring domain (administration, nursing, pharmacy, etc.) You can view upcoming changes to medical policies at upmchp.us/ProviderRLDocs. Long Term Care Policy and Procedure manuals are cross-referenced to CMS regulations and Joint Commission standards. This program is endorsed by the American Congress of Obstetricians and Gynecologists, the Association of Women’s Health, Obstetric and Neonatal Nurses, and the American College of Nurse Midwives. Manuals are cross-referenced to Joint Commission standards for Ambulatory Care and Primary Care Medical Homes, NCQA standards for Patient Centered Medical Homes, OSHA regulations, and HIPAA regulations as applicable. Backed by more than 30 years of direct healthcare experience, Policy Manager and Policy Library empowers healthcare organizations to stay compliant with … Beginning Jan. 1, 2014, the HCPM primarily provided policy and procedure information for MA for people age 65 or older, disabled or blind; MA for certain populations; MFFP and MSP. Notice of Medicare Non-Coverage (NOMNC) Form. Ambulatory Services Library includes policy and procedure manuals for Ambulatory Surgical Centers (ASC), Ambulatory Infusion Centers, Outpatient Rehabiliation, Pain Managment, Urgent Care Centers and more. The Behavioral Health Library includes Inpatient Behavioral Health Policy and Procedure Manual, EOC Manual for Behavioral Health, and Community Mental Health Centers (Partial Hospitalization). The MCS Manuals for contracts prior to 06/26/2008 are now superseded and can be found in the "Superseded" portion … *Medical policies require prior authorization from our Medical Management Department. Policy and Procedure Manual Section X Management of Human Resources PERSONNEL: DEFINITIONS POLICY X-4 Page 1 of 1 PURPOSE: The purpose of this policy is to standardize the terms used in the Personnel Policy and Procedure Manual. UPMC Health Plan Marketplace information: Information on our other individual and family plans: Shop for a plan the way you choose. Most healthcare organizations have replaced paper policy and procedure manuals with electronic policy libraries available on the organization’s intranet, which greatly enhances access. 1-877-563-0292 Prospective Clients: Current Members: 1-844-220-4785 The MCN Healthcare Job Description Library has over 600 job descriptions, associated skills competencies, and population-specific/age-related competencies for all areas of healthcare. GE Electronic Fetal Heart Rate Monitoring Course. If you have any questions, contact Medical Management at 1-800-425-7800. The Office of Child Support is in the process of moving all policy from the policy manuals and Action Transmittals (ATs) to the new Michigan IV-D Child Support Manual. The Hospital Library includes policy and procedure manuals for the various departments in a hospital. The agency’s Policy and Procedure Manual is to be considered the primary resource document with regard to questions about policies and procedures. Learn how UPMC Health Plan can help your employees live their healthiest lives. All manuals are cross-referenced to Joint Commission standards and CMS regulations. TTY: 711. The MCN Healthcare International Hospital Policy and Procedure Manual is the only manual on the market that addresses JCI standards. To optimize the usefulness of electronic libraries: 1. Policy Library is available for Hospitals/Hospital Systems, Critical Access Hospitals, International Hospitals, Ambulatory Care, Behavioral Health, Home Health/Hospice, Long Term Care, Medical Offices/Clinics, and Rural Health Clinics. Healthy employees are happier, more productive, and have fewer absences. The Medical Office/Clinic Library includes Medical Office/Clinic Policy and Procedure Manual, as well as HIPAA Guidelines Manual and OSHA Compliance Manual. Start the process of becoming a UPMC Health Plan producer or log in to your existing Producer OnLine account. 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