Are Adult Day Health Care (ADHC) centers “atypical” providers? Will ADHC centers need an NPI in order to bill or can they continue to use their current provider numbers?
DHCS previously interpreted ADHC centers as “atypical” providers and published notices stating that ADHC centers were not required to register an NPI with Medi-Cal or use an NPI on HIPAA-covered transactions. After further evaluation of the ADHC centers’ scope of services available under the Medi-Cal benefit structure as they relate to the NPI final rule, DHCS determined that ADHC centers are health care providers. As a result, ADHC centers are now required to apply for an NPI from NPPES, register it with Medi-Cal and use it in HIPAA-covered transactions with Medi-Cal.
Related Questions
- Are Adult Day Health Care (ADHC) centers "atypical" providers? Will ADHC centers need an NPI in order to bill or can they continue to use their current provider numbers?
- What is the advantage of Nevada Adult Day Healthcare Centers services over assisted living, home health care, or nursing homes?
- What is Adult Day Health Care?
