Provider Letters and Resources On this page On this page Provider Letters and Resources Main Content Filter Results Search within DMS Provider Letters Provider Type Group (Select) 01 - Hospital 02 - Psychiatric Hospital 03 - Behavioral Health Service Organization (BHSO) 04 - Psychiatric Residential Treatment Facility (PRTF) 05 - Psychiatric Residential Treatment Facility (PRTF) Level II 06 - Chemical Dependency Treatment Center (CDTC) 10 - Intermediate Care Facility - Individuals with Intellectual Disability (ICF/IID) Clinic 11 - Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) 12 - Nursing Facility 13 - Specialized Children's Services Clinic 15 - Health Access Nurturing Development Services (HANDS) 17 - Acquired Brain Injury 18 - Private Duty Nursing 19 – PACE 20 - Preventive and Remedial Public Health Services 21 - School Based Services 22 - Commission For Children with Special Health Care Needs 23 - Targeted Case Management and Rehabilitative Services 24 - First Steps 26 - Residential Crisis Stabilization Units 30 - Community Mental Health Center 31- Primary Care Center/Federally Qualified Health Centers 32 - Family Planning 33 - Supports for Community Living 34 - Home Health Agency 35 - Rural Health Clinic 36 - Ambulatory Surgical Center 37 - Independent Lab 39 - Renal Dialysis Clinic 41 - Model Waiver II 42 - Home and Community Based Waiver 43 - Adult Day Health Care 44 - Hospice 45 - Early and Periodic Screening, Diagnosis, and Treatment Special Services (EPSDT) 48 - Home Delivered Meals 50 - Hearing Aid Dealer 509 - Hearing Aid Dealer Group 52 - Optician 528 - Optician Group 54 - Pharmacy 55 - Emergency Transportation 56 - Non-Emergency Transportation 57 - Transportation Broker 60 - Dentist 61 - Dentist Group 62 - Licensed Professional Art Therapist 629 - Licensed Professional Art Therapist Group 63 - Applied Behavior Analyst 639 - Applied Behavior Analyst Group 64 -Physician 659 - Physician Group 66 - Behavioral Health Multi-Specialty Group 67 - Licensed Clinical Alcohol and Drug Counselor 67(9) - Licensed Clinical Alcohol and Drug Counselor GROUP 70 -Audiologist 709 - Audiologist Group 73 - Birthing Centers 74 - Certified Registered Nurse Anesthetist 749 - Certified Registered Nurse Anesthetist Group 76 - Multi-Therapy Agency 77 - Optometrist 779 - Optometrist Group 78 - Advanced Practitioner Registered Nurse 789 - Advanced Practitioner Registered Nurse Group 79 - Speech Language Pathologist 799 - Speech Language Pathologist Group 80 - Podiatrist 809 - Podiatrist Group 81 - Licensed Professional Clinical Counselor 819 - Licensed Professional Clinical Counselor Group 82 - Licensed Clinical Social Worker 829 - Licensed Clinical Social Worker Group 83 - Licensed Marriage and Family Therapist 839 - Licensed Marriage and Family Therapist Group 84 - Licensed Psychological Practitioner 849 - Licensed Psychological Practitioner Group 85 - Chiropractor 859 - Chiropractor Group 86 - Other Lab and X Ray 87 - Physical Therapist 879 - Physical Therapist Group 88 - Occupational Therapist 889 - Occupational Therapist Group 89 - Licensed Psychologist 899 - Psychologist Group 90 - Durable Medical Equipment (DME) 91 - Comprehensive Outpatient Rehab Facility (CORF) 92 - Psychiatric Distinct Part Unit (DPU) 93 - Rehabilitation Distinct Part Unit (DPU) 95 - Physician Assistant 959 - Physician's Assistant Group (Select) 2023 2022 2021 2020 2019 2018 Clear Filters Search Reset search Search FILTER Searching within No results were found. Please modify your search. Relative Content Contact Information 134