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NYS DOH ENDS INSTITUTIONAL PROVIDER NETWORK LAYOUT SUMMARYOFFICE OF QUALITY AND PATIENT SAFETY February 2020Health Data Field Name Site Name Room/Suite Address Town/City County FIPS County Name State Zip
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How to fill out managed care institutional provider

01
Fill out the application form provided by the managed care institutional provider.
02
Provide all necessary information about the institution, including contact details, services offered, and any accreditation or certification.
03
Submit any required documentation, such as licenses, permits, or insurance certificates.
04
Wait for the provider to review the application and approve the institution for participation in the managed care program.

Who needs managed care institutional provider?

01
Healthcare institutions such as hospitals, nursing homes, rehabilitation centers, and hospices that want to be part of a managed care network.
02
Patients who are covered by a managed care plan and need care from a specific institution that is part of the network.
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A managed care institutional provider is a healthcare facility that participates in a managed care plan, offering services to enrolled patients under a pre-negotiated rate and specific guidelines.
Healthcare institutions that provide services under a managed care contract, including hospitals, nursing facilities, and certain behavioral health facilities, are required to file managed care institutional provider reports.
To fill out a managed care institutional provider report, providers need to gather necessary patient and service data, follow the guidelines provided by the managed care organization, and complete all required sections accurately before submission.
The purpose of the managed care institutional provider report is to ensure that healthcare facilities are compliant with managed care regulations, to facilitate reimbursement for services, and to collect data for oversight by managed care organizations.
Information typically required includes patient demographic data, services provided, billing codes, dates of service, and any other specific details mandated by the managed care organization.
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