The Chesapeake Center - Pediatric Physical, Speech, Occupational, Therapy Allied Health Services staffing

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Insurance Plan *Please note that some insurances are accepted for Early Intervention only	Product Type	Precertification Requirements
AETNA	HMO/PPO/ Affordable Health Choice	HMO plans require referral from Primary Physician 2006 Aetna Precertification List.
Alliance PPO/One Net PPO	PPO	None
Amerigroup	Medicaid - Commercial Managed Care	Required
Anthem BlueCross BlueShield of VA & HealthKeepers and HealthKeepers Plus/Famis	HMO/POS/PPO/Indemnity /Medicaid (note: Medicaid precert requirements are consistent with the HMO requirements)	HMO/POS(HealthKeepers and HealthKeepers Plus/Famis)/PPO/Indemnity Anthem policy.
CareFirst BlueCross BlueShield and BlueChoice	HMO/POS/PPO/Indemnity	HMO plans: referral is required for first 3 visits
Champus/Tricare Standard	PPO	Required. Prescription must be obtained by patient.
Champus/Tricare Prime	HMO	Authorization Required for all services. Pediatrician must input the prescription in system for one year and renew every year
CIGNA HealthCare	HMO/POS/PPO/Indemnity	HMO/POS/Open Access Plus : PPO/Indemnity/EPO/PPA : Verify requirements on the back of the patient's ID card or on the CIGNA web site.
First Health/(CCN)	PPO	Depends on patient's benefits.
Great West/One Health	PPO	Depends on patient's benefits.
KAISER	HMO/POS (Kaiser Added Choice)	HMO/PPO: Requied Product Information
MAMSI	HMO: MDIPA, Optimum Choice POS: MDIPA Preferred, Optimum Choice, Preferred. PPO/Indemnity: MAMSI Life & Health PPO: Alliance (reference above)	HMO/POS : Required for 6 months MAMSI's precertification form.
Medicaid - VA Note: FRC does not participate with Amerigroup Medicaid - Authorization required for all services.	Government Plan	Required after 5 visits . Prescription required from Pediatrician
NCPPO (WellPoint, Unicare)	PPO	Effective DOS 6/18/07 for Unicare only : Precert Required for CT/CTA, MR, Nuc Card, and PET.
OneNet PPO		Please reference Alliance PPO.
PHCS	PPO/POS	Depends on patient's benefits.
UNITED HealthCare (Non-MAMSI Products)	HMO/POS/PPO	Precert required if 1) patient is under case management, or 2) to confirm medical necessity.