DHS Direction on Use of PHDHPs

January 24, 2020

In 2010, PACHC was successful in advocating to the Department of Human Services (DHS) for Public Health Dental Hygiene Practitioners (PHDHPs) as providers eligible to generate an FQHC/RHC encounter, meaning that PHDHP visits are billed as T1015-U9 encounters.  Initially, DHS directed that PHDHPs not only did not need, but could not get a PROMISe number.  That direction changed with an August 2017 Medical Assistance Bulletin indicating that PHDHPs must be enrolled in the Medical Assistance (MA) program to provide services to MA beneficiaries.  To enroll in the MA PROMISe system and receive an MA ID number, an NPI number is also required.