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To find a list of community health centers , use the Find a Doctor tool at emblemhealth. For urgent conditions that do not meet the layperson's definition of an emergency, all EmblemHealth plan members have access to network urgent care centers. To find a list of network urgent care centers , use the Find a Doctor tool at emblemhealth.
Dispute Resolution - Medicare. Free multi-language interpreter service is available to assist providers and their patients. To access an interpreter, providers may call and a Provider Customer Care Advocate will assist you. If the member calls, he or she will be asked to have the provider contact EmblemHealth to arrange for the interpreter.
The Interview Unit will contact the member to confirm the interpreter arrangements. Lighthouse Guild is a leading worldwide resource on vision impairment and vision rehabilitation.
Through its work in vision rehabilitation services, education, research and advocacy, Lighthouse Guild enables people of all ages who are blind or partially sighted to lead independent and productive lives. The Early Intervention Program EIP providesevaluation and developmental services when a child has or is suspected of having a developmental delay. The EIP has two components:. New York State law requires all primary referral sources e. Parental consent is required for referral.
You may also call the LEIAs at:. This program ensures such children are evaluated and receive needed special education and that disability-related health services are only provided by SSHSP providers approved by the Committee on Special Education. The program is under no obligation to use providers in the child's health plan network. The school district bills the state for services rendered to Medicaid managed care members.
When the services rendered to non-Medicaid members are covered by a third party, the school district is authorized to bill the third party on behalf of the servicing provider. PHCP provides financial assistance for medical care and support services to children that have severe, long-term health problems and chronic disabilities.
Eligible conditions include birth defects, physical handicaps, and other conditions that can be improved with treatment and early intervention. Application for the Treatment Program must be made to the county in which the child resides. There are some variations between counties for conditions covered and financial eligibility. Financial criteria are designed to assist families with low incomes or inadequate private health insurance. Primary care physicians PCPs such as pediatricians and family practice doctors are often the first-place families go to seek help or information about emotional or behavioral concerns with their children.
Additionally, other prescribers who are providing ongoing treatment to children, such as Child and Adolescent Psychiatrists, General Psychiatrists, and Psychiatric Nurse Practitioners, may request a second opinion through consultation. Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider.
If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage. Switch to: members brokers employers.
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