Last updated July 01, 2019 with Version 19.1
The Health Care Provider Taxonomy Code Set is a hierarchical code set that consists of codes, descriptions, and definitions. Healthcare Provider Taxonomy Codes are designed to categorize the type, classification, and/or specialization of health care providers.
The Health Care Provider Taxonomy code set is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers, and vendors an opportunity to incorporate any changes into their systems.
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
The American Medical Association (AMA) holds the copyright© for the Health Care Taxonomy Code Set (Provider Taxonomy). The Provider Taxonomy is commercial technical data and/or computer data developed exclusively at private expense and provided "AS IS" without warranty of any kind. The AMA, NUCC, and NPIdb and its members shall NOT be responsible for any consequences, including liability or damage attributable to or related to any use, non-use, or interpretation of information contained or not contained in the Provider Taxonomy.More information can be found regarding Health Care Taxonomy Codes at NUCC.org