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Health Services for Children with Special Needs (HSCSN)

Updated over 3 weeks ago

Type: Medicaid - Social Determinant of Health

Program Goal: Reduced cost of care through healthier members

Target Population: Pediatric Medicaid members

States Served: DC

RD Requirements:

Health Plan Credentialing

State Medicaid Enrollment

Foodsmart Credentialing Requirements

CAQH Application - Profile Updated

Medallion Credentialing Application
Copies of CDR, license in home state and where pt resides, CV

Benefits Overview:

Video Required

# of Allowed Visits

# of Allowed Units per Visit

Schedule Cadence

Billing Codes

Foodsmart Program Features

No

12 visits acceptable without authorization

Initial: 4 units

Follow Up: 2 units

2nd Visit: 1 week after initial

Other Visits:

Aim for 1x/week

12 visits per calendar year

S9470

Foodsmart app, Telenutrition

RD Assessments:

Nutriquiz

SNAP Required

Risk Assessment Required

Recommended at first visit, and at least every 3 months

Recommended

No

Food Benefits:

Foodsmart Bucks

Foodboxes/MTM

Food Selection Instructions

None

None

Please see the following link of Overview of Health Plans for info on all health plans.

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