Medical, Dental & Pharmacy
- Medical
- Ambulatory Surgical Services
- Children's Services
- Chiropractic
- Clinic Services
- Community First Services and Supports (CFSS)
- Early Intensive Development and Behavioral Intervention (EIDBI)
- Equipment and Supplies
- HCBS
- Hearing Services
- Home Care Services
- Hospice Services
- Hospital Services
- Housing Stabilization Services
- Immunizations and Vaccinations
- Laboratory/Pathology, Radiology, and Diagnostic Services
- Language Interpreter Services
- Long-Term Care
- Medication Reconciliation
- Mental Health Services
- Optical Services
- Personal Care Assistance (PCA) Services
- Physician and Professional Services
- Recuperative Care
- Rehabilitation Services
- Renal Dialysis
- Restricted Recipient Program
- School-Based Community Services
- Substance Use Disorder
- Telehealth Services
- Transportation
- Tribal and Federal Indian Health Services
- Dental
- Pharmacy
Basic Screen Survey (BSS)
A BSS may be performed by a collaborative practice dental hygienist for the purpose of referring a Head Start child to a dentist or dental clinic to establish continued dental care. Collaborative practice dental hygienists triage children, perform other dental hygiene services, and refer children with dental needs to a dentist.
PrimeWest Health will reimburse dentists, collaborative practice dental hygienists, or Head Start agencies that bill BSS services. BSS is not limited to an office setting, and may be provided in all PrimeWest Health allowed places of service.
Use CDT code D0999 and specify BSS in the notes section of the 837D claim form.
PW_11-18_431
Updated_9/17/2019

