Description
MEDICAL- MANAGED HEALTHCARE

Includes
Services that provide more than one medical discipline in a comprehensive contract requirement. Examples include DoD TRICARE Contracts and VA Community Care Contracts.

Excludes
Services that focus on one specific discipline or more than one discipline that are not part of a contract for comprehensive managed care services. For those services, select the specific code related to the specific discipline. If more than one discipline is being provided, choose the code that represents the preponderance of spend. For specific services for which no code is provided choose the hierarchical code such as Internal Medicine or Surgery.

Notes
Managed Care support services that provide a comprehensive array of healthcare services. Services are all inclusive and may include inpatient and/or outpatient services.

Possible NAICS Codes
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621498 – All Other Outpatient Care Centers
621111 – Offices of Physicians (except Mental Health Specialists)
524114 – Direct Health and Medical Insurance Carriers
541990 – All Other Professional, Scientific, and Technical Services
621511 – Medical Laboratories
621610 – Home Health Care Services
325412 – Pharmaceutical Preparation Manufacturing
621999 – All Other Miscellaneous Ambulatory Health Care Services

Description
Other Medical Services

Possible NAICS Codes
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
621399 – Offices of All Other Miscellaneous Health Practitioners
621910 – Ambulance Services
621999 – All Other Miscellaneous Ambulatory Health Care Services
532283 – Home Health Equipment Rental
621112 – Offices of Physicians, Mental Health Specialists
621498 – All Other Outpatient Care Centers
621511 – Medical Laboratories

Description
Medical Evaluation and Screening Services

Includes
Healthcare provider services to complete the following: physical examinations to determine Fitness for duty, Military Entrance exams, Reserve and National Guard exams, Aerospace Exams, Disability Evaluation exams, Occupational Health Screening exams (not the providers), Public Health Screening Services (not providers).

Excludes
Managed Healthcare Contracts (Q201), Occupational and Public Healthcare Providers (Q533), Family, Internal Medicine and Aerospace Physicians (Q509)

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
621511 – Medical Laboratories
621340 – Offices of Physical, Occupational and Speech Therapists, and Audiologists
621999 – All Other Miscellaneous Ambulatory Health Care Services
621498 – All Other Outpatient Care Centers
621491 – HMO Medical Centers
621399 – Offices of All Other Miscellaneous Health Practitioners
621610 – Home Health Care Services
561320 – Temporary Help Services
621330 – Offices of Mental Health Practitioners (except Physicians)

Includes
Nursing home care, Long-Term Healthcare (in facility & home), Adult/Geriatric Day Care programs.

Excludes
Any nursing personnel (Q401, Nursing), Family Practice or Internal Medicine Physicians {including gerontologists} (Q509 Family Practice & Internal Medicine Services), Managed Care contracts (Q201 General Healthcare), Physical and/or Occupational Therapy (Q518 Physical Medicine & Rehabilitation), Behavioral & Mental Health Services (Q519).

Possible NAICS Codes
623110 – Nursing Care Facilities (Skilled Nursing Facilities)
624120 – Services for the Elderly and Persons with Disabilities

Description
Dentistry Services

Includes
Family/General Dentists, pediatric dentistry, endodontist, periodontist, prosthodontist, oral & maxillofacial pathologist, oral and maxillofacial surgeon, oral surgery technicians, dental hygienist, dental assistants, and dental laboratory technicians.

Excludes
Radiology Technicians and Assistants (Q522 Radiology), Registered Nurses, Advanced Practice Registered Nurses, Clinical Nurse Specialists, Licensed Practical Nurses/Licensed Vocational Nurses, Medical and Nursing Assistants (Q401 Nursing), Operating Room Technicians (Q523 Surgery), Dental Instruments, Equipment, and Supplies (6520), and Dental Imaging Equipment and Dental Imaging Supplies (6525).

Possible NAICS Codes
561320 – Temporary Help Services
339116 – Dental Laboratories
621210 – Offices of Dentists
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners
621498 – All Other Outpatient Care Centers
524114 – Direct Health and Medical Insurance Carriers

Description
Nursing

Includes
Registered nurses (RNs), all specialities, that provide direct care to patients (synchronous and asynchronous). This includes RN Case Management, RN Surgical Case Reviewer, Licensed Practical/Vocational Nurses (LPN/LVN), LPN/LVN Case Management, Medical Assistant, Nursing Assistant, Advanced Practice Registered Nurses (APRN {NP}), in all sub-specialties, and Clinical Nurse Specialists (also APRNs) in all sub-specialities.

Excludes
RN’s/LPN’s/LVN’s that work in a support position with no patient care. These positions include, RN/LPN/LVN Utilization Management, RN Medical Board Liaison, RN/LPN/LVN in Referral Management (all of these would use PSC Q701, Specialized Medical Support). Psychiatric Technician (use PSC Q519 Behavioral & Mental health), Emergency Medical Technicians and Paramedics (use PSC Q529, Emergency Medicine Services). With these changes to includes and excludes, all Federal Agencies DoD, VA, HHS, and other Department/Agencies will be able to better clarify spend visibility and supplementary guidance.

Possible NAICS Codes
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
621399 – Offices of All Other Miscellaneous Health Practitioners
541990 – All Other Professional, Scientific, and Technical Services
623110 – Nursing Care Facilities (Skilled Nursing Facilities)
621999 – All Other Miscellaneous Ambulatory Health Care Services

Includes
Ophthalmologists, Optometrists, Opticians, Ophthalmology & Optometry Technicians

Excludes
Plastic Surgeons specializing in eye surgery (Q523 Surgery), General or Trauma surgeons (Q523 Surgery), Otolaryngology/ENT Surgeons (Q514), Surgical Technicians (Q523 Surgery), Anesthesia (Q501), Registered Nurses (RNs), LPNs/LVNs, Advanced Practice Registered Nurses, and Clinical Nurse Specialists (Q401 Nursing), Ophthalmic Instruments, Equipment & Supplies (6540), Medical and Surgical Instruments, Equipment, and Supplies (6515).

Possible NAICS Codes
621320 – Offices of Optometrists
561320 – Temporary Help Services
611310 – Colleges, Universities, and Professional Schools
622110 – General Medical and Surgical Hospitals
339115 – Ophthalmic Goods Manufacturing
621111 – Offices of Physicians (except Mental Health Specialists)
456130 – Optical Goods Retailers
621999 – All Other Miscellaneous Ambulatory Health Care Services
621512 – Diagnostic Imaging Centers
621498 – All Other Outpatient Care Centers

Description
Other Social Services

Possible NAICS Codes
624221 – Temporary Shelters
624229 – Other Community Housing Services
623220 – Residential Mental Health and Substance Abuse Facilities
624190 – Other Individual and Family Services
813110 – Religious Organizations
624230 – Emergency and Other Relief Services
624410 – Child Care Services
722310 – Food Service Contractors
711130 – Musical Groups and Artists
525120 – Health and Welfare Funds

Description
Personal Services Contracts

Possible NAICS Codes
812990 – All Other Personal Services
541990 – All Other Professional, Scientific, and Technical Services
928120 – International Affairs
541611 – Administrative Management and General Management Consulting Services
541519 – Other Computer Related Services
921190 – Other General Government Support
541690 – Other Scientific and Technical Consulting Services
561210 – Facilities Support Services
561320 – Temporary Help Services
561990 – All Other Support Services

Possible NAICS Codes
621498 – All Other Outpatient Care Centers
531210 – Offices of Real Estate Agents and Brokers
622110 – General Medical and Surgical Hospitals

Includes
Family & Internal Medicine Physicians (both MD’s and DO’s), Family & Internal Medicine Physician Assistants, Aerospace Medicine Physicians & Services, Preventive Medicine Physicians & Services, Allergy/Immunology Physicians & Services, Infectious Disease Physicians & Services, Rheumatology Physicians & Services, Gerontology Physicians

Excludes
Advanced Practice Registered Nurses, Clinical Nurse Specialists, Registered Nurses, Licensed Practical/Vocational Nurses, Nursing/ Medical Assistants (all fall under Q401-Nursing), Psychiatrists (Q 519 Behavioral & Mental Health), Pediatrics (Q516), Dermatology (Q504), Endocrinology (Q530), Gastroenterology (Q505), Hematology & Oncology (Q508), Obstetrics & Gynecology (Q507), Cardiology (Q502), Neurology (Q510)

Possible NAICS Codes
561320 – Temporary Help Services
621111 – Offices of Physicians (except Mental Health Specialists)
611310 – Colleges, Universities, and Professional Schools
621112 – Offices of Physicians, Mental Health Specialists
622110 – General Medical and Surgical Hospitals
621492 – Kidney Dialysis Centers
621999 – All Other Miscellaneous Ambulatory Health Care Services
325412 – Pharmaceutical Preparation Manufacturing

Includes
Healthcare professionals and programs that do NOT provide direct patient care. This includes but may not be limited to, medical utilization management personnel, medical clinical quality management professionals (for medical credentialing & privileging), health risk management, medical evaluation board personnel, healthcare benefits programs/personnel, health safety programs, patient safety & medical quality program personnel, medical quality assurance programs, medical library, patient advocacy/ liaison programs, medical billing, third party liability, tumor registrar, patient referral management.

Excludes
Any healthcare professional or program that provides direct patient care, whether virtual or in person. The services will be placed in the PSC that best aligns with the care delivery, Occupational and Public Health (Q533)

Possible NAICS Codes
561320 – Temporary Help Services
622110 – General Medical and Surgical Hospitals
621999 – All Other Miscellaneous Ambulatory Health Care Services
621399 – Offices of All Other Miscellaneous Health Practitioners
541990 – All Other Professional, Scientific, and Technical Services
621111 – Offices of Physicians (except Mental Health Specialists)
541614 – Process, Physical Distribution, and Logistics Consulting Services
621511 – Medical Laboratories
524298 – All Other Insurance Related Activities
621910 – Ambulance Services

Includes
Anesthesia Apparatus; Blood Transfusion Apparatus; Oxygen Therapy Apparatus; Respirators; Orthopedic Supplies; Arch Supports; Clinical Thermometers; Sutures; Hearing Aids; Veterinary Equipment, Endoscopes, Fiber Optic.

Excludes
Ophthalmic Instruments, Equipment, and Supplies; Non-Medical Endoscopes.

Possible NAICS Codes
423450 – Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
339113 – Surgical Appliance and Supplies Manufacturing
325411 – Medicinal and Botanical Manufacturing
339112 – Surgical and Medical Instrument Manufacturing

Description
Other Professional Services

Possible NAICS Codes
493190 – Other Warehousing and Storage
541611 – Administrative Management and General Management Consulting Services
541990 – All Other Professional, Scientific, and Technical Services
541690 – Other Scientific and Technical Consulting Services
541330 – Engineering Services
541519 – Other Computer Related Services
711510 – Independent Artists, Writers, and Performers

Description
Expert Witness

Possible NAICS Codes
621111 – Offices of Physicians (except Mental Health Specialists)
541199 – All Other Legal Services
541611 – Administrative Management and General Management Consulting Services
541990 – All Other Professional, Scientific, and Technical Services
541690 – Other Scientific and Technical Consulting Services
531320 – Offices of Real Estate Appraisers
541330 – Engineering Services
541618 – Other Management Consulting Services
621112 – Offices of Physicians, Mental Health Specialists