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 provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
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