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Insurance Billing Resources Focusing on HIV & STI Care and Prevention
Community Health Workers and Medicaid
- Community Health Workers Policy (MDHHS)
- General Medicaid Billing and Reimbursement (MDHHS)
- Community Health Worker Billing (MDHHS)
- CHAMPS Provider Enrollment (MDHHS)
- CHAMPS Beginner Guide (MDHHS)
- MI Medicaid Community Health Worker Registry Updated Review of Application Process (MDHHS & Michigan Medicaid Provider Outreach)
- Medicaid Community Health Worker Beginner Guide (MDHHS)
Doula Services
- Doula Initiative Overview (MDHHS)
- Medicaid Coverage of Doula Services - Doula Reimbursement Policy (MDHHS)
STD Specific - Registered Nurse (RN) Billing
Local Health Department Specific
- General Medicaid Billing for Local Health Departments (MDHHS)
- STD/HIV Billing Toolkit (MDHHS Bureau of HIV and STI Programs)
- STD/HIV Billing Toolkit: Frequently Asked Questions (MDHHS Bureau of HIV and STI Programs)
HIV Care and Prevention
- Community Based Organization (CBO) Clinical Services Expansion Playbook (Illinois Public Health Association & Medical Revenue Cycle Specialists)
- Billing and Coding for HIV Care (TargetHIV)
- Contracting and Billing with Health Plans (TargetHIV)
- Module 1: Building Your Internal Billing Infrastructure (TargetHIV)
- Billing Coding Guide for HIV Prevention (NASTAD)
PrEP and PEP Specific
- Pre-Exposure Prophylaxis (PrEP), Post-Exposure Prophylaxis (PEP), and Other HIV Prevention Strategies: Billing and Coding Guide (NASTAD)
- PrEP Resources (MDHHS Bureau of HIV and STI Programs)
- PrEP Billing Codes Brochure (MDHHS Bureau of HIV and STI Programs)
Miscellaneous
- Third Party Billing for HIV STI and Other Public Health Services (Illinois Public Health Association)
- Medicaid Provider Manual (MDHHS)
- Medicaid Health Plan List by County (MDHHS)
- Social Care/SDOH Michigan Payer Incentive Comparative Table (Z 55-65 Codes) (MDHHS)