are independent licensees of the Blue Cross and Blue Shield Association. The aforementioned legal entities, CareFirst BlueChoice, Inc., and The Dental Network, Inc. of Maryland (used in VA by: First Care, Inc.). In Virginia, CareFirst MedPlus and CareFirst Diversified Benefits are is the business names of First Care, Inc. In the District of Columbia and Maryland, CareFirst MedPlus and CareFirst Diversified Benefits are the business names of First Care, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. This document is your Certificate of Insurance. Your level of dental benefits is known as the GHI Preferred Dental Plan. This dental plan provides benefits for most types of dental services. CareFirst BlueCross BlueShield Medicare Advantage is the shared business name of CareFirst Advantage, Inc. This online publication has been updated to include the Dental Plan Non-Participating Provider Reimbursement Schedule as of June 1, 2019. and Group Hospitalization and Medical Services, Inc. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. Our Care Plan Guides are available online.Īnd additional care coordination materials. *If your patient is enrolled in a high-deductible health plan, certain charges may apply until their deductible is met.
Mac dental program reimbursement code#
(Bill this code when substantive changes to the Care Plan occur.) S0281- required when maintaining a Care Plan reimbursement is $100 S0280 - required when developing a Care Plan reimbursement is $200 When submitting claims for reimbursement, be sure to use the following procedure codes for development and maintenance *: Plus, you will be reimbursed for your time for each review. Generally, this should be accomplished in one visit. Non-emergency initial visits should include a cleaning, radiographic images (if required), and a dental examination with a definitive treatment plan. Having a dialogue with your patients and tracking their progress along the way is essential for your success in the PCMH Program. Dental care provided under the Medicaid program includes only essential services (rather than comprehensive services). Make sure you remember to review and approve each Care Plan quarterly (or as appropriate).
Identifying eligible patients and activating the Care Plan are only the beginning steps of the care planning process.
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