Physician Medical Evaluation MAPS Medical Report or Chiropractor Treatment Office Notes Physician Assistant Nurse Practitioner Surgeon Surgery MAPS Operative Report Surgical Assistant Anesthesiologist Anesthesia for MAPS Hospital Anesthesia Certified Registered diagnostic or surgical Calculation using Log & Surgeon’s Nurse Anesthetist procedures Anesthesia Invoice with CPT (CRNA) Crosswalk & Log Codes Therapy Clinic Occupational Therapy MAPS Therapy Notes Physical Therapy Speech Therapy Cognitive Therapy Lab/Pathology/Radiology Diagnostic Testing MAPS Diagnostic Test Report Prof. Interpretation Technical Prof. & Tech. Prosthetist/Orthotist Prosthesis or Orthosis MAPS Case Note documenting receipt of prosthesis or orthosis Ambulatory Surgery Day Surgery (ASC) MAPS Discharge Summary Center and/or Operative Report MEDICAL SERVICES PURCHASED BY CONTRACT The Regional Consumer Contract Specialist (RCCS) is responsible for managing the contracts that DARS/DRS has with hospitals, PABI facilities, and durable medical equipment vendors. Notify the RCCS if the counselor/RST or MSC/MST notes any issues with billing or the delivery of medical services as identified in the contract. Use the DARS1303 Contractor Performance Report to document the issue or incident of non-compliance, or send an email to the RCCS and include the contractor’s name, contract number, Texas payee identification number, type of service provider, and date of non-compliance or incident, description of the issue and a chronology of actions taken by DRS staff.
Physician Chiropractor Physician Assistant Nurse Practitioner Medical Evaluation Treatment MAPS Medical Report or Office Notes Surgeon Surgical Assistant Surgery MAPS Operative Report Anesthesiologist Certified Registered Nurse Anesthetist (CRNA) Anesthesia for diagnostic or surgical procedures MAPS Calculation using Anesthesia Crosswalk & Log Hospital Anesthesia Log & Surgeon’s Invoice with CPT Codes Therapy Clinic Occupational Therapy Physical Therapy Speech Therapy Cognitive Therapy MAPS Therapy Notes Lab/Pathology/Radiology Diagnostic Testing Prof. Interpretation Technical Prof. & Tech. MAPS Diagnostic Test Report Prosthetist/Orthotist Prosthesis or Orthosis MAPS Case Note documenting receipt of prosthesis or orthosis Ambulatory Surgery Center Day Surgery (ASC) MAPS Discharge Summary and/or Operative Report MEDICAL SERVICES PURCHASED BY CONTRACT The Regional Consumer Contract Specialist (RCCS) is responsible for managing the contracts that DARS/DRS has with hospitals, PABI facilities, and durable medical equipment vendors. Notify the RCCS if the counselor/RST or MSC/MST notes any issues with billing or the delivery of medical services as identified in the contract. Use the DARS1303 Contractor Performance Report to document the issue or incident of non-compliance, or send an email to the RCCS and include the contractor’s name, contract number, Texas payee identification number, type of service provider, and date of non-compliance or incident, description of the issue and a chronology of actions taken by DRS staff.