Doh apg provider manual

for Ambulatory Patient Groups (APGs) and. Standards for Article 16 Clinics. Provider Manual. Revision 1. July Please Note: Revision 1 contains policy clarifications and/or additions since the April Final Draft. In addition, Revision 1. Your provider manual, along with recent Medicaid Update articles, will act as an effective guide to your participation in Medicaid. Select a Provider Manual Ambulatory Patient Groups (APG).  · For a complete list of "Never Pay" APGs, see the provider manual and implementation materials on the DOH APG website. "If Stand Alone, Do Not Pay" APGs "If Stand Alone, Do Not Pay" APGs are lab tests, radiology, immunizations, and other ancillary procedures performed as follow–up to an initial clinic visit.

The APG payment methodology will be used to reimburse providers as follows: DOH (Article 28) Hospital Outpatient Departments (other than Emergency Service) for services provided on dates of service on and after December 1, For a complete list of "Never Pay" APGs, see the provider manual and implementation materials on the DOH APG website. "If Stand Alone, Do Not Pay" APGs "If Stand Alone, Do Not Pay" APGs are lab tests, radiology, immunizations, and other ancillary procedures performed as follow–up to an initial clinic visit. Ambulatory Patient Groups (APGs) PROVIDER MANUAL REVISION August Please Note: Red text indicates new policy clarifications and additions to the manual since the issuance of the July 1, revision. Although every effort has been made to keep this policy manual updated, the charts.

Dec APG Reimbursement. Provider Quick Reference Guide. Provider sends complete list of TINs to for provisioning at Zelis. hospitals and providers could not submit claims to DOH directly for these services. Although the APG implementation began in December , most physicians. Feb DOH Updates APG Rates This program is open to all health systems and providers and will connect Provider were updated.