However, payment may be reassigned to a group practice by inserting the group practices NPI in the Pay to Provider field of the claim. This page is available in other languages, Independent Practitioner Services for Individuals with Developmental Disabilities, Once a Group Practice is established as a separate Professional Corporation or a Professional Limited Liability Company (LLC), the entity can proceed with the. For example, if a Medicaid audit reveals that a dependent clinician had fraudulently documented services not actually rendered, a possible consequence might be that both the dependent clinician and the supervising clinician (and, possibly, the supervisors group practice) are placed on excluded provider list for Medicaid. By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. This view is currently private. If there are findings that a violation of rules and regulations exist during such activities, a written report called a Statement of Deficiencies is issued and the agency must submit a plan of correction to the Department within 10 days. Without RE95, reimbursement of these services for adult patients would be limited to 20 visits per therapeutic discipline per year. Caution should be taken as well, because nothing prevents the Justice Center from investigating and pursuing enforcement actions on whether the adjustments were proper and/or consistent with preventing (and/or reporting) neglect and abuse of service recipients. endstream endobj 3021 0 obj <>/Metadata 46 0 R/OpenAction 3022 0 R/PageLayout/SinglePage/Pages 3018 0 R/StructTreeRoot 67 0 R/Type/Catalog/ViewerPreferences 3040 0 R>> endobj 3022 0 obj <> endobj 3023 0 obj <>/MediaBox[0 0 612 792]/Parent 3018 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 3024 0 obj <>stream This map shows the address, phone number information and URL for Intermediate Care Facility provider agencies. If emergency shelter is provided in a facility licensed by the For instance, the annual training recertification for current employees has been extended by 90 days to relieve operational shortages caused by training. Therapeutic leave is considered a non-medical visit outside the facility most commonly used for overnight visits with family or friends.