Ped-I-Care follows the Medicaid fee schedule using Interqual criteria for some services. As an administrator of the Children’s Medical Services (CMS) Plan, Ped-I-Care works to ensure that children get what they need and providers are appropriately reimbursed. To aid in this effort, we have a number of resources to guide your efforts, including a short video.
- Covered Services Chart
- Provider Manual – Title 19 – March 16 2018
- Page 22 – Covered Services
- Page 23 – Utilization Management
- Provider Video:
If you have any questions regarding covered services, please feel free to call Ped-I-Care’s Utilization Management Team at (352) 627-9100 or toll-free (866) 376-2456.