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Table 1 - Services Offered and Delivery Method
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Service Type |
Provided by Site (a) |
By Referral or Contract Site Pays* (b) |
By Referral or Contract No Pymt (c) |
Not Provided (d) |
Service Type |
Provided by Site (a)
|
By Referral or Contract Site
Pays * (b) |
By Referral or Contract No
Pymt (c) |
Not Provided (d) |
Medical Care Services |
Mental Health / Substance Abuse
Services |
1.) General Primary Medical Care (other
than below) |
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25.) Mental Health Treatment/Counseling
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2.) Diagnostic Laboratory (technical
component) |
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26.) Developmental Screening |
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3.) Diagnostic X-Ray (technical
component) |
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27.) 24-hour Crisis Intervention/Counseling
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4.) Diagnostic Tests/Screenings (professional
comp.) |
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28.) Other Mental Health Services |
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5.) Emergency Medical Services |
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29.) Substance Abuse Treatment/Counseling
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6.) Urgent Medical Care |
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30.) Other Substance Abuse Services
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7.) 24-hour Coverage |
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Other Professional Services
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8.) Family Planning |
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31.) Hearing Screening |
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9.) HIV Testing |
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32.) Nutrition Services other than
WIC |
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10.) Immunizations |
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33.) Occupational or Vocational Therapy
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11.) Following Hospitalized Patients
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34.) Physical Therapy |
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35.) Pharmacy |
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Obstetrical and Gynecological Care |
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36.) Vision Screening |
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12.) Gynecological Care |
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37.) WIC Services |
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13.) Prenatal Care |
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Other Services |
14.) Antepartum Fetal Assessment |
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38.) Case Management |
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15.) Ultrasound |
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39.) Child Care (during visit to
Site) |
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16.) Genetic Counseling and Testing
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40.) Discharge Planning |
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17.) Amniocentesis |
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41.) Eligibility Assistance |
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18.) Labor and Delivery Professional
Care |
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42.) Employment/Educational Counseling
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19.) Postpartum Care |
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43.) Environmental Hlth Risk Redctn (via Detectn) |
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44.) Food Bank / Delivered Meals |
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Specialty Medical Care |
45.) Health Education |
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20.) Directly Observed TB Therapy |
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46.) Housing Assistance |
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21.) Other Specialty Care |
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47.) Interpretation/Translation Services
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48.) Nursing Home & Assisted Living
Placement |
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Dental Care Services |
49.) Outreach |
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22.) Dental Care – Preventive
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50.) Transportation |
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23.) Dental Care – Restorative
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51.) Home Visiting |
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24.) Dental Care – Emergency |
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52.) Parenting Education |
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53.) Other (Specify: ) |
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![](https://webarchive.library.unt.edu/eot2008/20090506053837im_/http://www.hrsa.gov/images/submain/line_hor.gif) |
![](https://webarchive.library.unt.edu/eot2008/20090506053837im_/http://www.hrsa.gov/images/submain/line_hor.gif) |
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