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Managed Care


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

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
 


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

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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