PACE

 

Provider Bulletin

March 11, 2005

 

PACE Patient Location Definitions

 

At the request of PACE Providers, we are providing the following definitions to assist in the determining the number to be entered in NCPDP v5.1 field 307-C7, Patient Location.

 

 

 0 = Not Specified.  This value will deny as Invalid.

 

1 = Home—Place where the cardholder resides other than nursing home or other facility. May be the cardholder’s residence or that of relative.

 

 2 = Inter-Care— No current NCPDP Definition.

 

 3 = Nursing Home—A facility licensed by the state which provides skilled nursing care and related services for rehabilitation of their residents. This facility accepts the responsibility for the dispensing and monitoring of prescription medication.

 

 4 = LongTerm / Extended Care—A facility, licensed by the state, which may include a nursing home or skilled care that accepts the responsibility for the dispensing and monitoring of prescription medication.

 

 5 = Rest Home—Assisted living/personal care. Medication is stored and dispensed by the staff. Staff does accept responsibility for dispensing and monitoring of prescription medication.

 

 6 = Boarding Home—A state licensed facility; not a private residence.  Cardholder is responsible for his/her own medication. Staff does not accept responsibility for dispensing and monitoring of prescription medication.

 

 7 = Skilled Care Facility— A state licensed facility. Meets definition of 3 or 4 above.

 

 8 = Sub-Acute Care Facility— A state licensed facility. Meets definition of 3 or 4 above.

 

 9 = Acute Care Facility— A state licensed facility. Meets definition of 3 or 4 above.

 

10 = Outpatient—NCPDP definition. N/A for PACE/PACENET cardholders.

 

11 = Hospice—A facility, other than the patient’s home, which supplies palliative and supportive  care for terminally ill patients. Medications should not be billed to PACE/PACENET.

 

 

Questions may be directed to Provider Services at 1-800-835-4080

 

PPB-05-007