What matters to you, matters to us.
What matters to you, matters to us.
What is it?
With over two decades of experience, APS HealthCare specializes in managing mental health services for Medicaid, Medicare, and commercial plan populations. Our network of providers is supported by over 2,000 healthcare professionals.
To ensure efficient and comprehensive care management, we have developed an integrated system that includes specialized call centers for providers, pharmacy services, and case management.
APS HealthCare is URAC accredited.
We are proud to highlight that APS HealthCare holds prestigious accreditations in the “Health Utilization Management 7.4” and “Credentials Verification Organization” programs awarded by URAC.
These accreditations confirm to our clients, employees, providers, and patients that we are an organization committed to quality and continuous improvement of processes across all our clinics.
Access our Medicare Clinical Guidelines
Services
Medicare Guideline Type
Guideline Reference Number
Source
Psychiatric Diagnostic Evaluation and Psychotherapy Services
Local Coverage Determination (LCD)
L33252
Psychiatric Inpatient Hospitalization
Local Coverage Determination (LCD)
L33975
Psychological and Neuropsychological Tests
Local Coverage Determination (LCD)
L34520
Treatment of Drug Abuse (Chemical Dependency)
National Coverage Determination (NCD)
130.6
Inpatient Hospital Stays for Treatment of Alcoholism
National Coverage Determination (NCD)
130.1
Please refer to the following internal Clinical Guidelines developed by
Please refer to the following internal Clinical Guidelines developed by
FWA
Report Abuse or Fraud
If you suspect abuse or fraud by a provider or insured individual, you can report it either anonymously or confidentially (if you reveal your identity, it will be protected during the investigation process). If you choose to report confidentially, we may contact you to clarify any questions.
Compliance Department Hotline
Phone: 787-641-9136
Phone: 1-855-266-6446
Email: fwa@apspuertorico.com
We are here for you.
Contact APS HealthCare.