Partners for Children (PFC) Waiver Services, Procedure Codes, Rates and Billing. Jill Abramson, MD MPH February14, 2013. PFC Provider Training. Overview Care Coordination/CCSNL/Communication Family-Centered Action Plan Services/Billing Federal Assurances/ Health & Welfare
Jill Abramson, MD MPH February14, 2013
Will provide child/family with Care Coordinator to:
Service Provider: RN, MSW
Care Coordination (cont):
Will allow children to express their understanding and reaction to their illness by utilizing play, art, music and massage therapy to improve the capacity of the body and mind to heal.
Service Provider: certified therapist
Allows an RN to instruct caregivers about end of life care, palliative care principles, care needs, medical treatment regimen, use of medical equipment and how to provide in-home medical care to meet the needs of the child.
Service Provider: RN
Provides relief for family members either in the home or in an approved facility. This benefit may be intermittent or regularly scheduled.
Service Provider: RN, LVN, HHA
Provides child/family with emotional support and grief counseling. Includes visits before and after the death of the child.
Service Provider: LCSW, Licensed Psychologist, MFT, ACSW
Care Coordination Services:
Care Coordination Services (cont):
Respite Care (cont):
*At least one visit must be provided, and the whole 22 units billed, before the child’s death.
UB-04 Field Descriptions:
CIN or 14-digit ID #
CCS/Medi-Calclaim authorized with a SAR
For help completing UB04 and submission instructions:
Contact Xerox Regional Representative.
Xerox Telephone Service Center: 1-800-541-5555