2021, Ch. More information about APMs is available from theHealth Care Payment Learning & Action Network. I have often recommended this provider & his office! Insurance listings are subject to change without prior notice. Dr. Cohen has been practicing medicine for over 27 years and is highly rated in 30 conditions, according to our data. He has taken very good care of me at anytime that I have been ill .he explains himself well and answers any and all my questions I may have at the time of my visit. Specialty. Consistent access to a primary care physician is such a blessing in a time of healthcare shortages across the country. Our servers have detected that you are accessing this site from a restricted area. To ensure that your payment is correctly applied to your account, detach the slip from your Baylor Scott & White billing statement and return the slip with your payment. The staff are very people oriented, extremely helpful. TTY: Maine relay 711, To inquire about the PCPlus application and/or application schedule, please email, Maine Department of Health and Human Services, Older Adults and Adults with Disabilities, Case Mix, Private Duty Nursing, and Home Health, Calculating Performance Based Adjustment (PDF), PCPlus Orientation: General Overview Presentation (PDF), PCPlus Orientation: Operations Presentation (PDF), PCPlus Provider Operations and Methodology Guide (PDF), Environmental Scan Guide and Template (Word), Behavioral and Physical Health Integration Tool, https://hinfonet.org/what-we-do/become-a-participant/, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services, 2019 August Attestation PCP Increase (PDF), Americans With Disabilities Act/Civil Rights Compliance, The Community Health Worker (CHW) Services. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. He really listens and is concerned with the patient's well beingphysically as well as mentally. As part of that vision, Baylor Scott & White Health is committed to dealing honestly, fairly and with integrity in all matters to provide exemplary patient care, broaden medical knowledge, train the next generation of physicians and support outside relationships that promise public benefit.To that end, Baylor Scott & White Health physicians may collaborate with health care industry partners such as pharmaceutical, biotech, or medical device companies (collectively referred to as Industry) to help develop medical breakthroughs, or provide medical expertise or education. Health and Human Services Dr. McCunniff understands a broad spectrum of medical issues as well as my life circumstances, and I get to speak directly to him every time, making communication efficient and accurate. A PCP is your main health care provider in non-emergency situations, and available to: Provide annual . 2023 Baylor Scott White Health. Our interaction was a bit short but pretty thorough. Provider. Notice of Agency Rule-making Adoption. This is a written three-year plan, updated annually, which describes operational and financial coordination across the PCPlus practice, the AC, and any Community Care Team, that is contracted with the AC and/or the PCPlus practice. Select services are not included: child development, genetics, mental health, procedures and pre- and post-operation appointments. 35 Medical Center Parkway Augusta, ME 04330. Register for a class, event or support group, Answer your questions about services we offer, Get prescriptions (if needed) without an appointment, Broken bones in wrist, hand, ankle or foot that have not broken skin, High fever, fever with rash or fever in infant, Severe abdominal pain or pain starting halfway down back, Persistent nosebleed, vomiting blood or blood in stool or urine, Possible heart attackchest pain, pain in the left arm or jaw, sudden weakness/dizziness, Possible strokenumbness, slurred speech, severe headaches, weakness on one side of face, loss of consciousness, Injury or trauma that threatens life or limb loss, Loss of vision (unable to get transportation to emergency room), Communicate one-on-one with their care team via messages. A PCP is your main health care provider in non-emergency situations, and available to: Primary care is most often provided in an outpatient setting. Provider Resources. My family loves Dr. McCunniff. Sometimes a sudden illness or injury occurs and you know you need immediate care. Baylor Scott & White Healths vision is to be the most trusted name in giving and receiving safe, quality, compassionate healthcare. Fabulous staff always kind and informative.Dr. You may be trying to access this site from a secured browser on the server. That is excellent care for patients. With this change, MaineCare is transitioning away from a fee-for-service payment system toward an approach that provides payments tied to cost- and quality-related outcomes. Our team of customer service representatives and financial counselors are here to help you find financial solutions that can help cover your cost of care. Quarterly Dental Provider Survey; OnLine Website Survey; Contact Us; Site Content. At Central Maine Healthcare, those relationships are the foundation of our care, and we offer several different types of PCPs to meet your needs: Gastroenterology Treatments & Specialties, Robotic Assisted Joint Replacements at Central Maine Medical Center, Provide annual wellness visits and routine check-ups, Provide preventive care and guide healthy lifestyle choices, Identify and treat common medical conditions, Make referrals to medical specialists when necessary. Your primary care physician also makes sure you are up to date on your preventive health services such as mammograms or colorectal screenings. All rights reserved. Services our primary care clinics and physician offices offer include, but are not limited to: Our PCP teams are connected to all the BSWH virtual care options (from e-Visits to video visits) and BSWH specialists so that your complete health history is factored in at every touchpoint. Having a PCP can give you a trusting, ongoing relationship with one medical professional over time. 11 State House Station Our psychiatrists, psychologists and behavioral health specialists provide diagnostic and therapeutic services aimed at helping you to develop strategies for coping with mental health conditions and/or substance abuse, including: Baylor Scott & White Health is pleased to offer you multiple options to pay your bill. Always consult a medical provider for diagnosis and treatment. PCPlus enables MaineCareto replace the prior outdated and convoluted system of payments andoffer primary care practices a single, integrated process for reimbursement with greater flexibility and incentives to meet MaineCare members health care needs. FAX: (207) 287-3005 Digital Privacy Policy, Disclaimer & Terms of Use. Health and Human Services He takes time to understand the problem and offers realistic solutions. All Rights Reserved. I had an occurrence a couple of years ago that still lingers a little bit now. Excellent communication and addressed medical concerns thoroughly. The following tools and resources that may be helpful in completing the PCPlus application: MaineCare offers enhanced reimbursement rates for select primary care services. Always listens and takes me and my illness seriously. Department of 112 KB. Prompt, efficient, takes time with patient. I think Dr. McCunniff is probably the best primary care provider I have ever used! MaineCare nurses, behavioral health specialists, and care coordinatorsworkwith health care providers and MaineCare members to reduce avoidable, non-emergency ED use and improve health outcomes for MaineCare members. To subscribe, click on the topic link below. Having a meaningful and trusting doctor-patient relationship helps doctors provide individualized care the best primary care for you and for your loved ones. Section 90 - Primary Care Physician Fee Schedule 2023: 148 KB 1/17/2023 3:50 PM: Maine.gov . Please call your physician's office or your health or insurance plan to verify coverage information prior to scheduling your visit or procedure. Competent, has wonderful people skills, but Dr McCunniff is professional and friendly during your appointment . Department of Initial Authorization Request Form (PDF) 198 KB. For general information about PCPlus please see the following: Option 1: PCPlus Recertification Application -This abbreviated application is for existing PCPlus providers to recertify as a PCPlus provider. Consolidated Association of Railroad Employees - (1), Injury Management Organization (IMO) - (1), Political Subdivision Workers' Compensation Alliance - (1), Sedgwick Preferred Network f/k/a Southwest Medical - (1), Your rights and protections against surprise medical bills, Read more about our digestive disease services, Learn more about ophthalmology and optometry, Read more about psychiatry and psychology, Register for a class, event or support group, Answer your questions about services we offer, Endoscopic retrograde cholangiopancreatography (ERCP), Evaluation of liver transplant candidates, Placement of external feeding tubes (gastrostomy), Refractive errors (astigmatisms, farsightedness, and nearsightedness), Chronic disease management and medication management, Treatment for illnesses and minor injuries, Attention Deficit Hyperactivity Disorder (ADHD), Make a one-time payment without registering by selecting the. Dr. McCunniff is absolutely THE BEST! About PCPlus For general information about PCPlus please see the following: List of PCPlus Practices by County (PDF) Performance-Based Adjustment (PBA) (PDF) Calculating Performance Based Adjustment (PDF) PCPlus Quality Measures (PDF) Walkers will then enjoy a one- to two-mile walk with the provider, during which you can continue the conversation and ask the provider health-related questions. I can say to Dr. McCunniff, "remember when they squeezed" and without my even finishing the sentence, he will know what I am talking about. Call MaineCare Member Services at 1-800-977-6740 for questions about all other services. Dr. McCunniff is the best doctor! Request proxy access in the MyBSWHealth app to help family members schedule their appointments, view test results, message doctors and more. For questions about a PA for a prescription drug, call the Pharmacy Help Desk at Pharmacy Help Desk at 1-866-796-2463. WellCare (formerly Today's Options) Medicare Advantage PPO, and PFFS. Back to Top . Please call the hospital or health plan to verify coverage information before scheduling your visit/procedure. The program requires that low-income adults, children, and families, and children and adults with disabilities around the state for primary care, case choose a PCCM provider management, and referrals to specialists. Primary Care Plus is included as part of the MaineCare Benefits Manual in Chapter VI, Section 3, Primary Care Plus. I highly recommend him to everyone! Please note that our team cannot provide clinical advice. Over 220 primary care practices are participating in PCPlus as of July 1. Dr. McCunniff has always provided professional care and show concern for my well-being. He looks at everything, never rushes me, always very very thorough. MaineGeneral has caring, expert teams located throughout the Kennebec Valley for your convenience and comfort. His top-level training in medical school and residency furnishes the background knowledge and advanced skill set that is needed to manage my conditions. Birth control and family planning. Payments can be made over the phone with our automated phone payment system 24 hours a day, seven days a week. For organizations with multiple locations, a separate application must be submitted for each service location. Your primary care physician also makes sure you are . Many of these conditions, including certain types of cancer, heart disease and emphysema, are completely treatable and often preventable. So, how do you make the right choice for you and your family? Thankfully, at Hillcrest, I have found Dr. McCunniff. Your partner. The information on this website may differ somewhat from information on other publicly available databases due to different reporting periods, definitions, or reporting requirements. We provide convenient, high-quality primary care for patients of all ages offering a wide range of expertise in: Whether its time for your annual visit or youre just not feeling well, your Houston Methodist primary care provider is here to see you conveniently and securely, virtually and in person. Primary Care Case MaineCare. DHHS PCPlus transitions away from a volume-based (fee-for-service) payment system toward an approach that provides population-based payments tied to cost- and quality-related outcomes. At Baylor Scott & White Health, we want to be a resource for you and your family. Everyone is usually so friendly and approachable. Call Member Services at 1-800-977-6740 or check the MaineCare Provider list on their website here: mainecare.maine.gov/ mhpviewer.aspx?FID=PDIR. When adding NDC codes to your claims, hyphens are not needed, but 11 digits are required. If paying by check or money order, include your account number on the check or money order. Research providers by insurance, specialty & procedures. Please enable scripts and reload this page. Takes the time to listen to your concerns and explain when asked. He is down to earth, caring and so thorough! 2023 Baylor Scott White Health. I wouldn't use anyone other than Dr Mccunniff. Dr. Seaton graduated from the Southern College of Optometry in 1976. Dr. Mccunniff is always caring and friendly. Text BETTER to 88408 to get started. That way, problems can be caught early and treated, preventing them from becoming chronic concerns and avoiding far more expensive hospital care. If you call before 12:00 PM, you can get an appointment on the same day with one of our team of primary or specialty care providers, including physicians, physician assistants and nurse practitioners. Baylor Scott & White Health. Learn more about specific conditions we specialize in treating. SUBJECT: Emergency Adoption: Chapter 101, MaineCare Benefits Manual, Section 90, Chapter II, Physician Services This letter gives notice of an emergency rulemaking that eliminates transsexual procedures from the list of non-covered services in Section 90.07. The app lets you book appointments, message your pediatrician, view your childs medical records and schedule virtual same-day care from your computer, smartphone or tablet. With the MyBSWHealth App and online portal, our patients can: Beginning late September, many Baylor Scott & White clinics offer designated availability for the community to receive flu vaccinations, often on a walk-in basis. Can't imagine having anyone else taking care of my medical needs! There are 140 Primary Care Physicians in Bangor. My blood pressure was 198 over 112. He's patient, proactive; and knows what he's talking about. To skip between groups, use Ctrl+LEFT or Ctrl+RIGHT. . To skip between groups, use Ctrl+LEFT or Ctrl+RIGHT. FAX: (207) 287-3005 At Baylor Scott & White Clinic - Waco, we take care of patients of all ages. Baylor Scott & White Health publicly discloses reported payments to these physicians and their immediate family members of $5,000 or more from Industry companies with which the physicians interact as part of their professional activities. UnitedHealthcare Medicare Advantage Benefit Plans. He looks at you and discusses the concerns you have about your health. Call 1.800.994.0371 to make a payment. Dr McCunnff is very pro-active in his treatments and thoroughly explains procedures and treatment options. He pays close attention to what you are talking about and is very thorough with his evaluation. We need to open up more funded residencies for MDs, and to recognize, in both tangible and attitudinal ways, the value of primary care. A PDF version of this application is available. He is thorough and compassionate. Moreover, my primary care physician can dissect what the specialists are saying, and also provide his own input. Participation with HealthInfoNet, operator of Maine's statewide Health Information Exchange (HIE):Attestation letters from HealthInfoNet to support PCPlus applications can be requested by emailing HealthInfoNet's Client Engagement team at. Dr. McCuniff is genuinely warm, caring and responsive. As a patient, you have a primary care provider who gets to know you as an individual. PCPlus is part of MaineCares work to continue improving the way it pays for health care services, so the system works better for MaineCare members and providers. When I report back to my PCP's office, Dr. McCunniff remains up to date precisely because he is always the one in the room, listening attentively and providing customized medical guidance based on this high-touch, high-rewards relationship. FAX: (207) 287-3005 He is the best! 109 Capitol Street The modelfocuses oncoordination and integration of primary and behavioral health care, providing access to abroad range of preventive services and screenings, and connecting members with a range of additional services including oral health care and treatment for substance use disorders. Practices complete this application IN ADDITION TO the Recertification Application, if you feel your practice now qualifies for a different tier. Your privacy is important to us. The app lets you book appointments, message your pediatrician, view your childs medical records and schedule virtual same-day care from your computer, smartphone or tablet. Set up your patient portal, complete . However, if you are admitted to the hospital, your PCP may assist in or direct your care. We're making it easy for you to get the care you need when you need it. Dr. McCunniff is kind and respectful and knows what to do to help his patients. He shows has concerns on your issue ask questions and listen and explains so I can understand. MaineCare Member Services can provide more information on dental facilities in Maine that accept MaineCare. We look forward to welcoming you! 5.00 Rated 5.00 out of 5 stars, with (2 ratings) 234 State St Brewer, ME 04412. AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy CHAPTER NUMBER AND TITLE: 10-144 C.M.R. MaineCare Launches New Payment Model to Improve Primary Care Services. Dr. Seaton is affiliated. But maybe you aren't sure what level of care your symptoms require. Please mail the payment to the address listed on your statement. If you have an emergency, please call 911. steps you can take to jump start your health care journey is choosing a primary care physician (PCP), who may be a family medicine or internal medicine specialist. Establishing a relationship with a primary care provider is one of the smartest things you can do to help ensure your long-term health. The CCU accepts cases based on referrals and prioritizes: Complex Case Unit Process for Referrals (PDF). All of our primary care locations use an electronic health record that allows for an enhanced patient experience. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. has reported no outside relationship with Industry that is applicable to this listing. One of the easiestand most importantsteps you can take to jump start your health care journey is choosing a primary care physician (PCP), who may be a family medicine or internal medicine specialist. Interpreter Clarification for Providers (PDF) - This document provides details aboutinterpreter services for non-English speaking or limited English speaking members. He exudes confidence and takes the time to explain everything. Primary Care Plus (PCPlus) is MaineCares new value-based approach to support primary care. He is always caring and thorough with me and my concerns. A Houston Methodist Primary Care Group provider who knows your health history, your habits, and your personality can more easily recognize signs of a potential change in your health. Any commercial insurance company offering health or casualty insurance to individuals or groups, including both experience-rated insurance contracts and indemnity contracts; 2. My daughter, son-in-law, and husband now also are Dr. McCunniff's patients, Caring, professional, and a great regard for the patients concerns and treatment. We provide convenient, high-quality primary care for patients of all ages offering a wide range of expertise in: Allergy and asthma. Health and Human Services 7,752,060 and 8,719,052. Dr. McCunniff is caring and personable. To jump to the first Ribbon tab use Ctrl+[. Current fee schedules under this option can be found on Health PAS Online Portal. Dr McCunniff is an excellent doctor and has a high level of emotional intelligence for someone his age, As someone with multiple health issues, I am grateful to have direct access to an MD. Call us at (207) 373-6033. A person or agency that provides medical care. Well care for, concerned about my health issues and knowledge of my issue, Always great, listens to concerns, and explains everything. He's also funny and makes sure you're comfortable during your office visit. They are also able to provide information about which dental services are covered. When you call (207) 373-6033, our Physician Referral Representatives will help you find the appropriate physician or provider for your needs and transfer your call to their office. Delivery System Reform A. The PCP is most often a doctor, though may be a physician assistant or a nurse practitioner in some cases. I do not have to spend five minutes explaining the "squeezing incident" in order for me to ask my next question. 1.07-1Definitions Relative to this Section. He is a very caring, knowledgeable doctor. Had been on a plane and just got to town and he managed to see me. NDC codes should be 11 digits long and have a 5 4 2 format (example: 00703-5145-01). Primary Care Plus is included as part of the MaineCare Benefits Manual in Chapter VI, Section 3, Primary Care Plus. At Baylor Scott & White Clinic - Waco, we take care of patients of all ages. The Maine Department of Health and Human Services and the Office of MaineCare Services set a goal to have at least 40 percent of MaineCare payments paid through APMs by the end of 2022. PDF. Option 3: Full PCPlus Application - This application is for providers who are not currently enrolled in PCPlus. My whole family used him. When the unexpected occurs, see a provider in person. We can help keep you and your loved ones well or help you recover from illness or injury. I am always telling friends how great he is. I literally thought I was going to die. Independent providers (which could include, for example only, anesthesiologists, radiologists, pathologists, emergency medicine physicians, advance practice professionals, and other independent providers of healthcare services) may deliver part of your care, and such providers may be considered out-of-network on your health and insurance plans even if the Facility may be considered in network. Hence another benefit of consistently scheduling a patient with the same provider, which builds familiarity and saves time in office by reducing repetition.Sometimes, it takes more people to solve a problem. I'm very pleased to have him as my Doctor. Always know I'm getting taken care of when I see him. The care team here includes family nurse practitioners (FNPs), licensed professional counselors (LPCs) and primary care physicians in Waco work . Insurance listings are subject to change without prior notice. That's why we offer health and wellness services for every aspect of your life and health, including: Annual/wellness checkups. Coronavirus (COVID-19) Updates. I like Dr McCunniff and he understands my goals. CCUprovides Maine residents who have disabilities with simple and timely solutions to complex healthcare, financial, and placement issues through integrated provider and community involvement. Specialty Care. PCPlus replaced Primary Care Case Management, Primary Care Incentive Payment, and primary care Health Homes with a single, integrated initiative and offers primary care practices greater flexibility and incentives to meet MaineCare members health care needs. Serving all people by providing personalized health and wellness through exemplary care, education and research. DHHS TTY: Maine relay 711, Maine Department of Health and Human Services. Text BETTER to 88408 to get started. He listens to everything you say, he's very thorough and very kind. Our primary care team provides a full continuum of care. See the following documents for guidance about the Prior Authorization (PA) process for Buprenorphine: 340B Guidance Document (PDF)- This document gives information about which rebates are collected by the state and what information is required. See also theMaineCare Bulletinswebpage for past notices. Download the MyBSWHealth app. A PDF version of this application is available. Elimination of this prohibition on transsexual medical procedures complies with Dr. McCunniff always listens to any concerns. With an established PCP relationship, your physician has an in-depth knowledge of your overall health; therefore, your doctor will be able to consider the entirety of your health history in order to make the most appropriate treatment plan and/or referrals. 398, Sec. The care team here includes family nurse practitioners (FNPs), licensed professional counselors (LPCs) and primary care physicians in Waco work together to create a care plan that puts you at the center of your health. Wonderful patient care and takes the time to listen. Provided feedback and follow up guidance. Early detection can be the difference in the success of treatment. Quick but efficient, Caring, compassionate, takes time with patients. Search for and select a primary care provider (PCP), medical specialist, other health care provider, hospital, or facility. Dr McCunniff has been my pcp for a while. Superb Doctor! Portland, ME. My dream is that Baylor Scott and White will become the leader in recruiting more such MDs. Dr McCunniff showed great empathy and guidance during this visit. A primary care physician (PCP), or primary care doctor, is your first stop when you are sick or in need of healthcare servicesincluding your annual physical, immunizations, prescription refills, cold or flu symptoms, a sore throat, minor injuries, back pain or even suspected broken bones. Dr was concerned, professional and took plenty of time. That sort of interaction is really invaluable for someone with multiple comorbidities like me. He is a very good doctor, he is thorough, he asks questions and answers any questions that I may have. The PCP is most often a doctor, though may be a physician assistant or a nurse practitioner in some cases. Dr. McCunniff is truly the absolute BEST!! Use the information below to make your decision with confidence. Very knowledgeable and caring. Find the best for you: Dr. Stacey Gibson, MD. Very good doctor cares about his patients. So happy he is my Primary care physician. Dr McCunniff patiently listened and asked for my thoughts on my health. He always takes the time to check-in, listen to symptoms, and explain treatments. 109 Capitol Street Provider Resources s+ s+ + + + D - - - / T [3 D - U & 7 ;H : uH uH uH UJ 4 I $ { 1 + 3J 3J " s+ s+ uH uH 2 } } } R s+ uH s+ 8 uH } } } ` + uH ; R , . ), To inquire about the PCPlus application and/or application schedule, please email PCP-Network-Services.DHHS@maine.gov. Americans With Disabilities Act/Civil Rights Compliance. But when a sick patient already has a diverse team of skilled specialists, what that patient needs at the primary level is not more practitioners, but continuity of care from a single, skilled PCP such as Dr. McCunniff. A primary care physician (PCP), or primary care doctor, is your first stop when you are sick or in need of healthcare servicesincluding your annual physical, immunizations, prescription refills, cold or flu symptoms, a sore throat, minor injuries, back pain or even suspected broken bones. Our dermatologists diagnose, manage, and treat skin, hair, and nail diseases and disorders, including: Our gastroenterologists and digestive disease specialists can help you, providing a full spectrum of care for patients with concerns involving the esophagus, stomach, small bowel, colon, rectum, gallbladder, pancreas, and liver. Our primary care team all share the same electronic medical record. 8/27/2018. He does a wonderful job, my entire family uses him. Dr mcCunniff is the most understanding caring dr there is !
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