Provider Specialty Listing
| Code | Specialty |
|---|---|
| 01 | General/Family Practice |
| 02 | General Surgery |
| 03 | Allergy/Immunology |
| 04 | Otolaryngology/Rhinology |
| 05 | Anesthesiology |
| 06 | State-Institution/Clinic |
| 07 | Dermatology |
| 09 | Proctology/Rectal and Colon Surgery |
| 10 | Preventive Medicine |
| 11 | Rehabilitation Center |
| 12 | Physical/Rehabilitative Medicine |
| 13 | Private Duty Nurse |
| 14 | Neurology |
| 15 | Nurse-Midwife |
| 16 | OB – Gynecology |
| 17 | Neurological Surgery |
| 18 | Ophthalmology |
| 19 | Dentists (DMD and DDS) |
| 20 | Orthopedic Surgery |
| 21 | Speech Therapist |
| 22 | Pathology |
| 23 | Occupational Therapist |
| 24 | Reconstructive/Plastic Surgery |
| 25 | Air Ambulance |
| 26 | MRDD Waiver State Inst – Public |
| 27 | Psychiatry |
| 28 | Advanced Practice Nurse Prescriber |
| 29 | Nurse Practitioner |
| 30 | Radiology/Radiation Therapy |
| 31 | Nurse Practitioner – Other |
| 32 | Psychiatric Nurse Practitioner |
| 33 | Cardio/Thoracic Surgery |
| 34 | Urology/Nephrology |
| 35 | Chiropractors |
| 36 | Nuclear Medicine |
| 37 | Pediatrics |
| 38 | Alcohol & Drug Rehabilitation – Public |
| 39 | Alcohol & Drug Rehabilitation – Private |
| 40 | Emergency Medicine |
| 41 | Internal Medicine |
| 42 | Psychiatric Rehabilitation – Public |
| 43 | Psychiatric Rehabilitation – Private |
| 44 | Physical Therapist |
| 45 | Psychologist |
| 46 | QMB Only – Christian Science |
| 47 | QMB – MO HealthNet Unlisted |
| 48 | Podiatrist – Surgical Chiropody |
| 50 | Adult Day Care |
| 51 | Homemaker/Chore |
| 52 | Respite – In-home |
| 53 | Respite – Institutional |
| 54 | Medical Supply Company |
| 56 | Mental Health Regional Centers |
| 57 | Hospice – Free Standing |
| 58 | Hospice – Provider Affiliated |
| 59 | Ambulance Service Supplier |
| 60 | County Public Health Clinics |
| 61 | Prenatal Services – Global |
| 63 | Portable X-Ray Supplier (Billing Independently) |
| 64 | Audiologist |
| 65 | For Profit Public Transportation |
| 66 | Non-profit Public Transportation |
| 67 | Home Health Agency |
| 68 | Private Individual |
| 69 | Independent Laboratory |
| 70 | Clinic |
| 71 | Dental Public Health |
| 73 | Oral Pathologist |
| 74 | Oral Surgeon |
| 75 | Prosthodontist |
| 76 | Personal Care Clinic |
| 77 | Volunteer Transportation |
| 78 | CRNA Services |
| 79 | Swing Bed Hospitals |
| 80 | Hospitals and Nursing Homes |
| 81 | Optician/Optometrist |
| 82 | Certified Optometrist |
| 83 | Orthodontist |
| 84 | Pedodontist |
| 85 | Periodontist |
| 86 | Endodontist |
| 87 | Drug and Department Stores |
| 88 | LTC Pharmacy Control Dose Delivery Sys |
| 90 | Case Management |
| 91 | E.P.S.D.T. |
| 94 | Pharmacology |
| 95 | MRDD Waiver Program – Private |
| 96 | Comprehensive Day Rehab |
| 98 | Other EPSDT |
| A0 | DESE First Steps |
| A1 | Rural Health Clinic Per Diem |
| A2 | Licensed Clinical Social Worker |
| A3 | Licensed Professional Counselor |
| A4 | Targeted Case Management – MRDD |
| A5 | Targeted Case Mgt – MI State |
| A6 | Targeted Case Mgt – MI Private |
| A7 | Targeted Case Mgt – Children EPSDT |
| A8 | Reentry Case Management |
| A9 | TCM Other |
| AA | Anesthesiologist Assistants |
| AB | Provisional Licensed Assistant Behavior Analyst |
| AC | Autism Center |
| AE | Asthma Education |
| AH | Asthma In-Home Environmental Assessment |
| AP | Assistant Physician |
| AQ | Acupuncture |
| B1 | Provider Based RHC |
| B2 | TCM Other |
| B3 | Targeted Case Mgt – Foster Care |
| B4 | Rural Emergency Hospital |
| B5 | Ambulatory Surgical Center |
| B6 | Freestanding Birth Center |
| B7 | Public Entity |
| B8 | Local Health Department or Social Service Agency |
| B9 | Hotel, Restaurant, or Oil Company |
| BA | Provisional Licensed Behavior Analyst |
| BT | Biopsychosocial Treatment of Obesity |
| C4 | Cardiology |
| C5 | Brain Injury Waiver |
| C6 | DHSS Consumer Directed PC |
| C7 | Department of Mental Health (DMH) Personal Care |
| C8 | FQHC Provider |
| C9 | MHC – Clinic |
| CA | Complex Care Assistant |
| CC | Certified Community Behavioral Health Clinics |
| D1 | MHC – FQHC |
| D2 | Children’s Division Rehab Residential Provider |
| D3 | Telephone Reassurance |
| D4 | Home Delivered Meals |
| D5 | OHCDS – State |
| D6 | OHCDS – Private |
| D7 | Disease Management |
| D8 | Dialysis Centers |
| D9 | Non-Administrative Agent |
| DP | Diabetes Prevention |
| E1 | Broker, Direct Service Program |
| E2 | School Based Transportation |
| E3 | Children's Therapeutic Day Treatment |
| E4 | Fixed Wing Transport |
| E5 | General Pharmacist |
| E6 | Provisional Licensed Psychologist |
| E7 | Chronic Care Improvement Program |
| E8 | Licensed Master Social Worker |
| E9 | Provisional Licensed Professional Counselor |
| EB | HBAI Certification for Psychologist |
| EH | Eligible Hospital |
| EP | Eligible Professional |
| ES | HBAI Certification for LCSW and LMSW |
| F1 | Certified Diabetes Educator |
| F2 | Licensed Dietician |
| F3 | Registered Pharmacist |
| F4 | DOH Certified Diabetes Educator |
| FT | Treatment Foster Care |
| G1 | Augmentative Communication Device Evaluations |
| GW | Gateway To Better Health |
| H1 | Independent Diagnostic Testing Facility |
| HC | Health Care Home Clinic Other than Administrative Site |
| HD | Health Care Home DMH |
| HF | Health Care Home FRA (Primary Care) |
| HI | Health Care Home IGT (Primary Care) |
| HM | Health Care Home DMH Disease Mgmt |
| HP | Health Care Home Primary Care |
| HS | Hearing Aid Specialist |
| IL | Financial Management Self-Directed |
| L1 | Lead Assessment – Public |
| L2 | Lead Assessment – Private |
| LA | Licensed Assistant Behavior Analyst |
| LB | Licensed Behavior Analyst |
| LP | ABA Qualified Licensed Psychologist |
| M1 | Managed Care |
| MF | Licensed Marital and Family Therapist |
| MT | Provisional Licensed Marital and Family Therapist |
| P1 | Clinical Nurse Specialist |
| P2 | Clinical Nurse Specialist – Psych |
| P3 | Prescribed Pediatric Extended Care |
| PA | Physician Assistant |
| RT | Residential Treatment |
| S1 | Audiology |
| S2 | Occupational, Physical, Speech Therapy |
| S3 | Personal Care |
| S4 | Private Duty Nursing |
| S5 | Psychology/Counseling |
| SD | State Designee |
| SF | Structured Family Caregiving Waiver |
| SP | School Psychologist |
| T1 | School Districts – IEP Therapy |
| TF | Psychiatric Residential Treatment Facility |
| VC | Invasive Mechanical Ventilation |