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HSCSN News & Updates for Health Providers

Provider Resources

HSCSN Provider Newsletter

HSCSN Network Connector gives you the latest news about HSCSN, practice requirements, and District of Columbia Department of Health Care Finance updates.

HSCSN Provider Manual

HSCSN created this manual to assist you and your staff with providing services to our members. If you have questions about the provider manual, please contact us at 202-467-2737.

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Find other primary care and specialty providers within the HSCSN network or download the Provider Directory:

Primary Care Providers

General

How to Obtain Copies of Clinical Criteria, Benefit Provision, Guideline, Protocol or Other Similar Criterion on Which the Denial Decision is Based.

A copy of the clinical criteria, benefit provision, guideline, protocol or other similar criterion on which the denial decision is based will be provided upon your request. 

You may obtain a copy of the portion of the InterQual ® Level of Care Criteria -Home Care that was considered in making this decision by sending a request to us at:

Utilization Management Department - Criteria Request
1101 Vermont Avenue N.W., 12th Floor
Washington, DC 20005

You may see the entire set of InterQual ® Level of Care Criteria -Home Care at the offices of a law firm, Terris, Pravlik & Millian, LLP, which is located at 1121 12th Street, N.W., Washington, D.C. 20005. They can be contacted via telephone at 202-682-2100. The Terris, Pravlik & Millian firm is available to advise you about the InterQual ® Level of Care Criteria -Home Care.

Applied Behavior Analysis

Dental Providers

HIV

Influenza

Lead Screening

Obstetrical

Vaccines

Mental and Behavioral Health Providers

Home Health Agency