Who is required to complete and submit the medical necessity review forms?
All providers providing outpatient PT/OT services to HIP members with an HMO, POS, PPO/EPO, Medicare, Medicaid, Family Health Plus, Child Health plus, Access I and Access II benefit plan that are not assigned to a primary care physician from the Queens-Long Island Medical Group, Preferred Health Partners, Staten Island Medical Group, Manhattan Physicians Network, Montefiore (CMO), or Health Care Partners (HCP) are required to complete this process.
