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 (pdf)

 
 


HSM Provider Manuals &
Certification Forms

For use prior to January 1, 2009

 

The HSM manuals and forms listed below are to be used prior to January 1, 2009.  To access manuals and forms to be used beginning January 1, 2009 and thereafter, please click here.

To view the following publications, you will need Adobe Acrobat Reader. To download, click here.

MYPAC Provider Manual & Forms

(effective 11/01/07)

 

Private Duty Nursing Services
Provider Manual & Certification Forms

(effective 07/01/05)
 

Outpatient Physical, Occupational, and Speech Therapy
Provider Manual & Certification Forms

(effective 01/19/07)
 

Durable Medical Equipment Services
Provider Manual & Certification Forms

(effective 7/01/02)

Home Health Care Services
Provider Manual & Certification Forms

(effective 7/01/02)

 

Inpatient Acute Care Services
Provider Manual & Certification Forms

(effective 11/01/02)
 

Swing Bed Services
Provider Manual & Certification Forms

If you have any questions concerning the certification of the above services please feel free to call our help line. 
It is available 5 days a week Monday - Friday
 8:00 a.m. - 5:00 p.m.

Local: 601-360-4949

Toll Free: 866-740-2221

 

 

 

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