Visiting Nurse Service of New York

Posted by:  :  Category: Medicare

Since the devastation of Sandy, VNSNY’s Emergency Response team is coordinating the efforts of thousands of professional and paraprofessional clinicians and office staff who continue to work around the clock to ensure that care is delivered seamlessly. Please donate online now to help us give New Yorkers the care they deserve, call 212-609-1525 to make a contribution over the phone, or print our donation form and mail it directly to us. We have established the VNSNY Relief Fund to help the many patients and employees affected by the aftermath of Sandy.
Source: vnsny.org

VNSNY CHOICE Health Plans

VNSNY CHOICE was created by the Visiting Nurse Service of New York to bring together the health professionals and providers who care for you, plus the medical services you need to live well at home. The seven health plan options currently being offered by VNSNY CHOICE include Medicare Advantage plans (Medicare Preferred, Medicare Maximum, Medicare Classic, Medicare Enhanced) Long Term Care plans, (VNSNY CHOICE Total, VNSNY CHOICE MLTC) and VNSNY CHOICE SelectHealth, a health plan for individuals living with HIV/AIDS. VNSNY CHOICE health plans are open to residents living within the Medicare Advantage or MLTC service areas, and are eligible for Medicare, Medicaid, or both. For more information about any VNSNY CHOICE plan or the service areas covered by VNSNY CHOICE, please contact us. 
Source: vnsny.org

Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

The Commonwealth Fund and the Institute for Healthcare Improvement convened 15 experts in May 2013 to help address the controversy over the measurement of hospital readmissions. Experts agreed that Medicare should, through payment and other means, be encouraging greater coordination of care, improvement in care transitions, and mitigation of risks that leave patients vulnerable to readmission.
Source: ihi.org

Medicare.gov: the official U.S. government site for Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

The Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

The Visiting Nurse Service of New York created a managed care plan serving lower-income, vulnerable patients enrolled in a partially capitated Medicaid Managed Long-Term Care program or a fully capitated Medicare Advantage Special Needs Plan, or both. Every health plan member is assigned a care manager who collaborates with an interdisciplinary care team and the member’s primary care physician to enhance access to appropriate services, improve care coordination and transitions, and promote optimal health outcomes and independent living. Other key components of the model include comprehensive member assessments, patient and family education, transitional and palliative care provided by nurse practitioners, and the use of risk stratification, information technology, and staff training. Over time, Medicare plan members have experienced fewer hospital admissions, readmissions, and emergency visits. The health plan’s experience should inform organizations and policymakers interested in integrating care for patients with special needs.
Source: commonwealthfund.org

Manhattan U.S. Attorney Settles Civil Fraud Claims Against Visiting Nurse Service For Obtaining Millions In Medicaid Payments By Enrolling Ineligible Individuals In Its Managed Long

Preet Bharara, the United States Attorney for the Southern District of New York, and Thomas O’Donnell, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General’s (“HHS-OIG”) New York Region, announced today that the United States has settled civil fraud claims under the False Claims Act against VISITING NURSE SERVICE OF NEW YORK, VNS CHOICE, and VNS CHOICE COMMUNITY CARE (collectively, “VNS”) related to the enrollment of ineligible members in the VNS Choice managed long-term care plan (“Choice MLTCP”). VNS improperly billed the Medicaid program for 1,740 members whose needs did not qualify for the managed care plan. These members were improperly referred by social adult day care centers (“SADCCs”), or received services primarily from SADCCs, many of which provided substandard and minimal care.
Source: justice.gov

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

Home Health Care Agencies Massachusetts

This information is provided as a public service. While every effort is made to assure accuracy, the information may be incorrect due to recent changes in provider status, name or address. This information should not be used as a sole source in selecting a home care, home health or hospice provider.
Source: dibbern.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Compare Medicare 2015 health plans options in Connecticut , Medicare Advantage plans in Connecticut, Medicare Supplements, What are my 2014 Medicare plan choices in Connecticut, CT, Medicare choices, Medicare Part D, 2014 Connecticut Medicare Plan Choices, choices and Medicare options information for Connecticut Residents, Medicare Advantage plans for 2014, How do I compare Medicare Plans in Connecticut?

Medicare Options, LLC, provides enrollment assistance for senior and disabled residents of Connecticut with their Medicare Health Plan choices including Medicare Medigap plans in Connecticut, Medicare Advantage Plans, Part D prescription drug plans from Aetna, ConnectiCare, United Healthcare, and WellCare in the towns of: Amston, Andover, Avon, Baltic, Berlin, Bloomfield, Bolton, Bozrah, Brandford, Bristol, Burlington, Centerbrook, Cheshire, Chester, Clinton, Colchester, Columbia, Coventry, Cromwell, Deep River, Durham, East Berlin, East Glastonbury, East Haddam, East Hampton, East Hartford, East Killingly, East Lyme, East Windsor, Ellington, Elmwood, Essex, Farmington, Forestville, Glastonbury, Groton, Guilford, Haddam, Hadlyme, Hamden, Hartford, Hebron, Higganum, Ivoryton, Jewett City, Kensington, Killingly, Killingworth, Lebanon Ledyard, Lyme, Madison, Manchester, Marlbourgh, Meriden, Middle Haddam, Milldale, Moodus, Moosup, Mystic, New Britain, New London, Newington, North Branford, Norwich, Old Lyme, Old Mystic, Old Saybrook, Plainville, Plantsville, Poquonock, Portland, Preston, Rockfall, Salem, Saybrook, South Glastonbury, South Lyme, South Windsor, Southington, Terryville, Tolland, Uncasville, Vernon, Wallingford, Waterford, West Hartford, West Mystic, Westbrook, Wethersfield, Windsor, Windsor Locks. We serve the counties of, Hartford County, Tolland County, New London County, Middlesex County, New Haven County, Litchfield County. We are licensed and Certified to advise and enroll medicare recipients on medicare supplements, medicare advantage plans, medicare part D prescription coverage, retirement planning, Long-Term care options, fixed annuities, Reverse Mortgage programs, and eldercare attorney referrals. Consult a tax advisor before making tax related decisions. Consult an attorney specializing in estate planning before making any decisions regulated by federal or state law, such as trusts and wills. MedicareOptions.info provides free information on Medicare options in Connecticut. Medicare Plan Choices in Connecticut for 2014 will help seniors find the best medicare plan for their situation. This site allows people to compare Medicare Advantage Plans in Connecticut. We do not choose which plan is best for beneficiaries, but provide information on Medicare Plans so they can compare their Medicare Choices. Most Medicare Beneficiaries simply want to know, how do I compare Medicare plans in Connecticut. We help them find the best Medicare Plan that suits your particular needs for 2015.
Source: medicareoptions.info

Compare All Medicare Plan Options

Coverage is available to residents of the service area and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* Blue Cross Blue Shield of Wyoming.*
Source: wellmark.com

Medicare Hospital Compare Quality of Care

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. The best time to enroll in a plan is during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed issue right to join any plan of your choice, meaning that you may not be denied coverage based on any pre-existing conditions. If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage based on your medical history.
Source: ehealthinsurance.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare.gov Physician Compare Home

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Supplemental, Advantage, and Part D Plans

Because of the significant amount of out-of-pocket payments required by traditional Medicare, a booming market of private-sector insurance products has grown up around the government programs. These Medicare-related insurance products are one of the fastest-growing segments of the U.S. health insurance industry overall. And they are the part of the market on which a smart consumer should focus his or her attention. Medicare Providers mission is to help seniors understand these products and provide tools assist in the decision making process.
Source: medicare-providers.net

Coventry Medicare: Locate A Provider

Need to find a provider?  Our online provider search tools give you flexibility in a simple format.  Just select the type of provider you are looking for from the links below and be connected to the appropriate search tool.
Source: coventryhealthcare.com

Blue Medicare Advantage Pharmacies

This link will take you to a new site not affiliated with BCBSIL. It will open in a new window. To return to our website, simply close the new window. Refer to important information for our linking policy.
Source: bcbsil.com

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Fact Check: Obamacare’s Medicare Cuts

Next Generation Leaders The 100 Most Influential People Ask the Expert Know Right Now New Adventurers Person of the Year 2014 Shaping Our Future Solutions That Matter TIME Explains Top 10 Everything of 2014 Top of the World Wonders of the World A Year In Space
Source: time.com

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au

Health Minister Sussan Ley backs away from plan to cut Medicare rebate

Sure all the leftists will just say "keep spending; rack up debt and let the kids be burdened with crippling interest costs like in Europe". But no-one can be confident commodity prices will bounce back within 5-8 years, so we have got to start living within our means. Tax loopholes will need to be closed, but that won’t be near enough. Spending will have to be cut across the board. Wastage eliminated. We will have to do everything, and if Labor doesn’t embrace this then let them fight the next election promising huge deficits for a decade. Bring it on.
Source: com.au

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Difference between the Medicare Provider Numbers

Applicable FARSDFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.
Source: wpsmedicare.com

NPI Entity Type 1/Type 2 and Medicare Provider Numbers

Even if the practice association is an S corporation or a “disregarded entity” (i.e., tax return can be filed in the physician’s name), the above applies. From an NPI perspective, an S corporation is no different from a limited liability corporation or any other type of corporation; if the PA receives payments, it must have its own Type 2 NPI.
Source: texmed.org

How to Find a Medicare Number (3 Steps)

Look at your social security card. Your social security number is the first part of your Medicare number for part A and B benefits. The second part is the letter A or B, depending on which benefit you are needing the number for. Part A is inpatient hospital benefits and Part B is outpatient medical benefits. For example, if your social security number is 111-22-3333, then your Medicare number for Part A benefits is 111-22-3333-A. If you do not have a social security card or your Medicare card, contact your local SSA office for a list of documents required for obtaining a replacement card.
Source: ehow.com

Medicare Unmasked: Behind the Numbers

This project uses data made public by the Centers for Medicare and Medicaid Services. It shows the dollar amounts that doctors and other medical providers received in Medicare reimbursements in 2012 and 2013, along with other data including their specialties. Only procedures which providers performed on more than 10 Medicare patients were included in the data released. There is some information CMS hasn’t provided. In some cases, procedures attributed to a specific physician may have been performed by other people under that doctor’s supervision. The data doesn’t include information on patients nor does it show doctors’ billings related to durable medical equipment.
Source: wsj.com

Medicare Supplemental, Advantage, and Part D Plans

Because of the significant amount of out-of-pocket payments required by traditional Medicare, a booming market of private-sector insurance products has grown up around the government programs. These Medicare-related insurance products are one of the fastest-growing segments of the U.S. health insurance industry overall. And they are the part of the market on which a smart consumer should focus his or her attention. Medicare Providers mission is to help seniors understand these products and provide tools assist in the decision making process.
Source: medicare-providers.net

Enroll in a Medicare Plan

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Blue Medicare PPO and Blue Medicare HMO Providers

Posted by:  :  Category: Medicare

Blue Cross and Blue Shield of North Carolina is an HMO, PPO, and PDP plan with a Medicare contract. Enrollment in Blue Cross and Blue Shield of North Carolina depends on contract renewal. Blue Cross and Blue Shield of North Carolina does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All Blue Cross and Blue Shield of North Carolina items and services are available to all eligible beneficiaries in the service area.
Source: bcbsnc.com

Medicare PPO Blue ValueRx (PPO)

Medicare PPO ValueRx offers a Visitor/Travel Program that includes in-network benefits and cost-sharing when you receive treatment for covered services from participating Blue Medicare Advantage PPO network providers outside of Massachusetts in the following states: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia.
Source: bluecrossma.com

Blue Medicare PPO Enhanced (PPO) 2015

Inpatient visit: Our plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. The inpatient hospital care limit does not apply to inpatient mental services provided in a general hospital. Our plan covers 90 days for an inpatient hospital stay. Our plan also covers 60 “lifetime reserve days.” These are “extra” days that we cover. If your hospital stay is longer than 90 days, you can use these extra days. But once you have used up these extra 60 days, your inpatient hospital coverage will be limited to 90 days.
Source: healthpocket.com

Medicare PPO Blue ValueRx (PPO)

You do not currently have end-stage renal disease (ESRD). If you initiated dialysis treatments for ESRD but have recovered your normal kidney function and no longer require a regular course of dialysis to maintain life, or have had a successful kidney transplant, or are currently a member of Blue Cross Blue Shield of Massachusetts, you may still join the plan. In addition, if you were a member of a Medicare Advantage plan that terminated its services after December 31, 1998, and you currently have ESRD, you may still join the plan. There may be additional requirements, please contact the plan for more information.
Source: bluecrossma.com

Medicare Supplement Options

Posted by:  :  Category: Medicare

* Network restrictions apply. ** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.
Source: bcbstx.com

Texas Medicare Supplement Insurance Plans

in a situation where the Part A deductible, which for 2013 is $1,184 for each benefit period, not yearly and the Part B deductible comes in at $147 yearly. Also traditional Medicare is set up for you to be responsible for heavy cost sharing when treatment exceeds 60 days, to the tune of $296 a day that would be your full responsibility as well as $596 days 91-150. You would also be forced to use a doctor or hospital that accepts Medicare Assignment, otherwise you would also be charged for any and all excess charges. Medicare Assignment means the provider has agreed to take whatever fee the government pays them. The ideal solution would be to have a plan that paid ALL of the charges over what your Medicare plan pays, leaving you owing nothing, you can do this through supplements.
Source: medicareinsurancetexas.com

What’s Medicare Supplement Insurance (Medigap)?

Some Medigap policies also offer coverage for services that Original Medicare doesn’t cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.
Source: medicare.gov

BlueCross BlueShield of Texas

By law, Medicare Supplement insurance is standardized into twelve plans (Plans A through L). That means Plan F from one company must include the same benefits as plan F from another company. While the benefits must be the same, each company’s rates, reputation, membership features and quality of service can vary. With Blue Cross and Blue Shield of Texas, you don’t have to sacrifice comprehensive benefits or freedom-of-choice for affordability. Their Medicare Supplement plans provide substantial benefits at rates that can save you money over other plans.
Source: texashealthagents.com

Your Medicare Supplemental Insurance Information – MedicareSupplemental.com

There are exceptions to the standardization if you live in certain states, such as Massachusetts, Minnesota, and Wisconsin. Depending on your state, you may be able to buy another type of Medigap policy called Medicare SELECT (a Medigap policy that requires you to use specific hospitals and in some cases specific doctors to get full benefits). Who Provides Medicare Supplemental Insurance? Medicare supplemental insurance is provided by private insurance companies such as AARP, BlueCross BlueShield, Globe Life, Humana, Mutual of Omaha, Transamerica Life, United American, UnitedHealthcare and many others. Remember from above that Medigap insurance companies can sell you only a “standardized” Medigap policy. All Medigap policies must have specific benefits so you can compare them easily on the basis of price.
Source: medicaresupplemental.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Provider Resources Medicare Risk Adjustment

Posted by:  :  Category: Medicare

HPSM encourages physician providers to document patient health information accurately for appropriate Medicare reimbursement. The Centers for Medicare and Medicaid Services (CMS) uses risk adjustment diagnosis codes and demographic data reported for one year to determine payment for the next year. Calculations for payment are based on patient risk scores. For more information about CMS risk adjustment, view our FAQs.
Source: hpsm.org

CMS Risk Adjustment Data Submission Deadlines and Payment Schedule

The July 2012 funding payment that Medicare Advantage plans receive from CMS is based on the data that was received by CMS by March 2, 2012 and represents dates of service from the prior calendar year, January 1, 2011 to December 31, 2011. It’s important to understand that encounter data with dates of service outside the parameters in our example will be accepted by CMS but will not factor into the payment calculation at that time. So, if a plan submits data with dates of service in February 2012 by the March 2
Source: askccg.com

Medicare Nursing Home Quality Measures Risk Adjustment

Data and risk adjustment are important parts of calculating the quality measures. However, a detailed understanding of the adjustment procedures isn’t necessary for the average user of Nursing Home Compare. Scientists involved in research on the measurement of quality in nursing home care have advised CMS on the methods of risk adjustment, and CMS believes this is the best science available at this time. The following detailed information is presented for those who are interested. The quality measures on Nursing Home Compare were adjusted using exclusions and resident-level adjustment.
Source: medicare.gov

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Florida Department of Children and Families

This may result in fines of up to $250,000, a prison term or both, if you are convicted of public assistance fraud. In addition you will not be able to get benefits for 12 months the first time, 24 months the second time, and permanently the third time that you provide false or inaccurate information.
Source: myflorida.com

Florida Medicare Providers & Carriers

Florida Medicare providers offer services at different prices depending mainly on location and network availability. A Medicare provider is a medical practitioner or supplier who falls into a carrier network and performs services or offers supplies that are reimbursed by Medicare. To become a Medicare provider in Florida, a practitioner must submit an application, have a valid state medical license, and comply with United States non-discrimination standards. Examples of providers include fee-for-service providers, pharmacists, physicians, and skilled nursing facilities.
Source: myfloridamedicare.net