Department of Public Health and Social Services - Bureau of Health Care Financing Administration - Division of Public Welfare

Department of Public Health and Social Services - Bureau of Health Care Financing Administration - Division of Public Welfare


Phone: 1-671-735-7231/7243
Fax: 1-671-734-6860
Email: n/a
Website: https://dphss.guam.gov/content/bureau-health-care-financing-administration
Types of Services Offered: Medical & Health Services
Category: Government Local

Description:

Bureau of Health Care Financing Administration administers and oversees the following Health Service Programs:

·       Medicaid Assistance Program (MAP)
·       Medically Indigent Program (MIP)

Note: Data for this listing was compiled from online sources by UOG social work students enrolled in SW110 Introduction to Community Services on Guam classes (Sections 1 and 2) in the spring semester of 2017.
 

Services Offered:
 
·      The Program Management Section is responsible for the financial and program management support; development, monitoring & evaluation of the program state plan, policies and procedures, operations, manuals, and rules and regulations.
 
·      The Operations Section (Benefits Coordination/Claims Processing) oversees the utilization control and claims processing unit, off-island referral coordination, and the benefit support unit.
 
·      The Quality Management Section is responsible for maintaining and developing the quality management of the Operation & Program Management Section.
 
·      The Prior Authorization Section is responsible for the issuance of Prior Authorization of the medical services.
 
·      The Claims Intake Section is responsible for the intake of claims from participating providers.

DPHSS Building 123 Chalan Kareta, Mangilao GU, GUAM, GUAM

1-671-735-7231/7243

1-671-734-6860

Monday, Tuesday, Wednesday, Thursday, Friday

08:00 AM

05:00 PM

Hours of Operation:

Monday through Friday (except Government of Guam holidays)
8:00am - 5:00pm (no break)


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