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HSM Provider Manuals &
Certification Forms
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The HSM manuals listed
here reflect the certification review changes effective
January 1, 2009 and thereafter.
Certification Forms are located at the end of each manual.
To view the following publications, you will need
Adobe Acrobat Reader. To download, click here.
Hospice Provider Manual
(effective 01/01/11)
Day
Treatment Services (5 Years of Age and Younger)
Provider
Manual
and Caretaker/Guardian Agreement Form
(effective 10/01/10)
Day Treatment
Services (5 Years of Age and Younger)
Admission and Continued Stay Criteria
(effective 10/01/10)
Community
Mental Health Services
Provider
Manual
(effective 05/01/09)
Durable Medical Equipment Services
Provider
Manual
(effective 01/01/09)
Home Health Care Services
Provider Manual & Certification Forms
(effective 01/01/09)
Inpatient Acute Care Services
Provider Manual & Certification Forms
(effective 01/01/09)
MYPAC
Services
Provider
Manual & Certification Forms
(effective
01/01/09)
Hospital Outpatient Mental Health Services
Provider
Manual & Certification Forms
(effective
01/01/09)
Outpatient
and School Health Related Physical,
Occupational, & Speech Therapy
Provider Manual & Certification Forms
(effective 01/01/09)
Private
Duty Nursing Services
Provider Manual & Certification Forms
(effective 01/01/09)
Psychiatric Residential
Treatment Facility Services
Provider Manual & Certification
Forms
(effective 01/01/09)
Quality
Review Services
Review Process Manual & Forms
(effective 01/01/09)
Reconsideration Process
Manual & Forms
(effective 01/01/09)
Medical Necessity Review for
Organ
Transplant Manual
(effective 01/01/09)
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 helpline operated 5 days a week
Monday - Friday 8:00 a.m. - 5:00 p.m.
Local: 601-360-4949
Toll-free outside the
Jackson area: 1-866-740-2221
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