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Covered Services

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.

Quick References

TRANSCRIPT – Providing Services and Getting Paid

Utilization Management Practice Guidelines:

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.