Pennsylvania SB1373 mandates National Provider Identifiers for home or community health care services and establishes claim submission requirements.

Pennsylvania SB1373 amends the Human Services Code to require individuals delivering health care services in the home or community, not billed as per diem services, to obtain a National Provider Identifier. This applies regardless of whether the individual is the billing provider. All claims submitted for payment must include the NPI, Medicaid provider number, dates, and times of service. The Department of Human Services must establish a standardized fraud recognition and training program for service providers and financial management entities.

Pennsylvania SB1373 mandates National Provider Identifiers for home or community health care services and establishes claim submission requirements.

Pennsylvania SB1373 amends the Human Services Code to require individuals delivering health care services in the home or community, not billed as per diem services, to obtain a National Provider Identifier. This applies regardless of whether the individual is the billing provider. All claims submitted for payment must include the NPI, Medicaid provider number, dates, and times of service. The Department of Human Services must establish a standardized fraud recognition and training program for service providers and financial management entities.