1A1B. Is the person on a managed care plan?
1A1B. Is the person on a managed care plan?
Special Needs refers to an individual with an intellectual or developmental disability, also called IDD, includes many severe, chronic conditions that are due to mental and/or physical impairments. IDD can begin at any time, up to 22 years of age. It usually lasts throughout a person's lifetime.)
This will close in 20 seconds
A patient is considered unable to leave their home without significant assistance due to an illness, preexisting condition or injury, requiring the use of supportive devices like a walker, cane, wheelchair, special transportation, or help from another person to leave their home, and leaving home is typically a considerable and taxing effort; essentially, they are "confined to the home" according to medical standards.
This will close in 20 seconds
Code 95 is a Restriction Exception (RE) code in Medicaid that indicates an individual is qualified for waivered services through the Office for People with Developmental Disabilities (OPWDD). Individuals with code 95 may also be eligible to enroll in the Health Home program if they meet the program's chronic condition eligibility criteria.
This will close in 20 seconds
The H78 code is a the three-digit Office Code. ‘H78’ is returned for members who have coverage through the NY Health Benefit Exchange this was likely added through market place
This will close in 20 seconds