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2013 Practitioner and Provider Manual - Presbyterian Healthcare ...

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Specialists5. Preventive Health Care Guidelines5. Preventive HealthCare Guidelines<strong>Presbyterian</strong> encourages members to accesspreventive health care services through thedevelopment <strong>and</strong> distribution of preventive healthcare guidelines. Health education information isdistributed to our members in a variety of ways,including at health fairs <strong>and</strong> community meetings<strong>and</strong> in member newsletters <strong>and</strong> h<strong>and</strong>books.<strong>Presbyterian</strong> also offers a provider manual on theprovision of Early <strong>and</strong> Periodic Screening,Diagnosis, <strong>and</strong> Treatment (EPSDT) programservices including recommended childhoodimmunization schedules. The manual can belocated athttp://docs.phs.org/idc/groups/public/@phs/@php/documents/phscontent/wcmdev1001063.pdf.Nurse Advice LineAll <strong>Presbyterian</strong> members <strong>and</strong> <strong>Presbyterian</strong>employees have access to a Nurse Advice Linethrough NurseAdvice SM New Mexico that isavailable 24 hours a day, seven days a week, toanswer their health care questions. The nurses donot take the place of practitioners, but providehelpful information on how to feel better <strong>and</strong> stayhealthy or when it is appropriate to go to theemergency department.Nurse Advice Line Telephone Numbers<strong>Presbyterian</strong> Centennial Care members maycontact the Nurse Advice Line at 505-923-5677 or 1-888-730-2300.<strong>Presbyterian</strong> Senior Care (HMO) <strong>and</strong>MediCare Preferred <strong>Provider</strong> Organization(PPO) members may contact the NurseAdvice Line at 1-800-887-9917.<strong>Presbyterian</strong> commercial members maycontact the Nurse Advice Line at 1-866-221-9679.<strong>Presbyterian</strong> employees <strong>and</strong> their dependentsmay contact the Nurse Advice Line at 1-800-905-3282.Preventive Health Care Guidelines <strong>and</strong>ScreeningPreventive health care guidelines aresystematically developed statements designed togive members <strong>and</strong> providers current informationabout preventive health care screenings,counseling, <strong>and</strong> immunizations for all age groups.<strong>Presbyterian</strong> adopts preventive health careguidelines that are relevant to the enrolledpopulation <strong>and</strong> are based on reasonable medicalevidence. The <strong>Presbyterian</strong> preventive health careguidelines are based on a variety of resources,including but not limited to:U.S. Preventive Services Task ForceCenters for Disease Control <strong>and</strong> Prevention(CDC)American Academy of Pediatrics (AAP)5-12014 <strong>Practitioner</strong> <strong>and</strong> <strong>Provider</strong> <strong>Manual</strong> - Ver. 3

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