Revised HSD 1MARKUP

Revised HSD 1MARKUP.XLS

Medicare Advantage Applications - Part C and regulations under 42 CFR 422 subpart K

Revised HSD 1MARKUP

OMB: 0938-0935

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HSD-1 DELIVERY SYSTEM SUMMARY OF PROVIDERS & REQUIRED MEDICARE SERVICES BY COUNTY
Date Prepared:
COUNTY:
Applies to plan(s):
Specialty or Required Medicare Service # of Available Medicare Providers by County Medicare Provider Breakdown Total # of Providers Total # of PCPs Accepting New Patients Total # of PCPs Accepting Only Established Patients County Serviced by Provider

Direct w/MAO Downstream Arrangement
General Practice






Family Practice






Internal Medicine






Geriatrics






Mid -Level Practitioners






Obstetrics/Gynecology






Cardiology






Chiropractic






Dermatology






Endocrinology






ENT






Gastroenterology






General Surgery






Nephrology






Neurology






Oncology






Ophthalmology






Oral Surgery






Orthopedics






Podiatry






Psychiatry






Pulmonology






Radiology






Rheumatology






Urology






Vascular Surgery






Acute Inpatient Hospitals






Diagnostic & Terapeeutic Radiology (Excluding Mammogram)






DME/Prosthetic Devices






Home Health






Lab Services






IP - Mental Illness






OP- Mental Illness






Mammography






OP - Renal Dialysis






Skilled Nursing Facility






Surgical Services - OP or Ambulatory






Therapy - Occupational/Physical






Therapy - Speech






TRANSPLANT FACILITIES - Heart






TRANSPLANT FACILITIES - Heart & Lung






TRANSPLANT FACILITIES - Intestinal






TRANSPLANT FACILITIES - Kidney






TRANSPLANT FACILITIES - Liver






TRANSPLANT FACILITIES - Lung






TRANSPLANT FACILITIES - Pancreas






















TOTAL






File Typeapplication/vnd.ms-excel
AuthorCMS
Last Modified ByCMS
File Modified2008-09-03
File Created2007-10-30

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