The Managed Care Branch (MCB) is a systematic approach to manage the medical care and costs of detainees housed in non-service processing centers (non-SPCs). The MCB employs Managed Care Coordinators (MCCs) who perform oversight functions and authorize offsite and onsite emergent and non-routine health care. |
MCB Hotline |
1-888-718-8947 |
Fax (All Regions) |
1-866-475-9349 |
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Managed Care Coordinators:
Hours of
Operation
(EST)
7:00am-5:00pm
Supervisor
CDR Linda
Jo Belsito
|
work |
202-732-0110 |
Eastern Region
CAPT Marylouise Ganaway |
voice |
202-732-0114 |
Western Region
Claudia Mazur |
voice |
202-732-0111 |
Central Region
Claudia
Mazur |
voice |
202-732-0111 |
Juvenile
LCDR
Eileen
Falzini |
work |
202-732-0117 |
|
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MAILING ADDRESS:
DIHS Managed Care Branch
1220 L Street (N.W.), Suite 500
Washington, DC 20005
Billing Questions:
|
Voice |
800-479-0523 |
Division of Immigration
Health Services (DIHS)
CAPT Gene Migliaccio, Director
Dr. Timothy Shack, Medical Director
|
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The procedures for obtaining preauthorization and payment are as follows:
The Service Provider (a state, local, Federal government agency or private provider) shall obtain pre-approval from the Managed Care Coordinator (MCC)
by submitting a
Treatment
Authorization
Request (TAR) for all non-routine and emergent medical care.
TARs will be
submitted through
the
TARWeb and in
paper form using the Division of Immigration Health Services (DIHS) Preauthorization
Form
only when
TARWeb is
unavailable. The Service Provider shall ensure that all invoices associated with detainee offsite and/or onsite medical services are submitted to DIHS.
In an emergency, the Service Provider shall obtain the medical treatment required to preserve the detainee's health. The Service Provider's Health Authority shall notify the MCC
on the next business
day following any emergency
care to obtain authorization
.
The Service
Provider's Health Authority will obtain authorization from the MCC for continued medical service(s) beyond the initial emergency situation. The Service Provider shall instruct offsite healthcare providers/ institutions to submit their invoices to Immigration Health Services.
If you have any questions or need additional information, please contact your MCC.
Treatment
Authorizations
Category
Definitions:
-
Consult Only -
Consultative health
services only that are
consistent with the
consultative
Provider's specialty
and detainee's medical
condition
as
listed on the TAR.
-
Emergency Room
- Health services
consistent with an
emergency room setting
and detainee's
specified medical
condition as listed on
the TAR. In cases
where an inpatient
admission may be
medically necessary
following an initial
emergency room visit;
a new TAR must be
submitted by the
detainee's custodial
facility.
-
Medical Appointment
(Not a consult) -
Health services
consistent with the
provider's specialty
and detainee's
specified medical
condition as listed on
the TAR.
-
Medical Lab/Test
- Labs and/or
tests consistent with
the detainee's
specified medical
condition as listed on
the TAR.
-
Inpatient
Hospitalization -
Health services
consistent with an
inpatient
hospitalization and
the detainee's
specified medical
condition as listed on
the TAR.
-
Dental Services
- Health services
consistent with a
dental Provider's
specialty and
detainee's specified
medical condition as
listed on the TAR.
-
Non-Formulary
Medications - Any
medication not
included on DIHS'
designated formulary.
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