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MEDI CAL PROVIDER MANUAL
A Physician Certification Form (PCS form) is required for both NMT and NEMT services. LogistiCare will send a PCS form to physicians to indicated approval for
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Affordable Care Act (ACA) and PAR Forms
Describe new account codes. Provide direction on classification of part-time work. Clarify usage of MOUs. Identify best practices for utilizing
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Lump Sum Separation Pay and Contribution
Lump sum PARs are submitted as a package, which consists of the coversheet, PAR,. Election Form, and 457(b) Traditional Catch-Up Approval Letter (if
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