Nutrition / Other Medical Supplies / Medical Office/Clinic Therapy Services (See Definition) Exclusively / ICF Col / EYE CARE / w/ Medicaid Card 20 Acute Care / w/ Medicaid Card Col / Cover Items 35 Clinical Laboratory / 23 Acute Care - Dietetics / Diapers/Underpads 29 General Medical - Consultation 6 Other Medical Supplies / Decubitus / /
Direct Service / To Medical Office / Program Administration / /
Person
Ray Diagnostic / /
Position
Physician / Psychologist / Psychiatrist / Insurance General / General / Personal Care Aide / Line No. SERVICE TYPE Aide Services / Home Health Aide / nurse / /