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
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
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

Description
Social Rehabilitation Services

Possible NAICS Codes
621420 – Outpatient Mental Health and Substance Abuse Centers
623990 – Other Residential Care Facilities
624221 – Temporary Shelters
623220 – Residential Mental Health and Substance Abuse Facilities
624229 – Other Community Housing Services
624310 – Vocational Rehabilitation Services

Includes
Pharmacists, Clinical Pharmacists, Pharmacologists, Pharmacy Technicians, Virtual Pharmacy Services

Excludes
Drugs and Biologicals (6505), Medicated Cosmetics and Toiletries (6508), Drugs and Biologicals, Veterinary Use (6509), Medical and Surgical Instruments, Equipment and Supplies {i.e. Medication dispensing machines} (6515), Hospital Furniture, Equipment, Utensils and Supplies {i.e. pharmacy specific furniture} (6530), Pharmacy Software (DA10)

Possible NAICS Codes
561320 – Temporary Help Services
325412 – Pharmaceutical Preparation Manufacturing
621399 – Offices of All Other Miscellaneous Health Practitioners
456110 – Pharmacies and Drug Retailers
622110 – General Medical and Surgical Hospitals
524292 – Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
524114 – Direct Health and Medical Insurance Carriers
493110 – General Warehousing and Storage
621999 – All Other Miscellaneous Ambulatory Health Care Services
562112 – Hazardous Waste Collection

Description
Geriatric Services

Possible NAICS Codes
624120 – Services for the Elderly and Persons with Disabilities
623110 – Nursing Care Facilities (Skilled Nursing Facilities)
623220 – Residential Mental Health and Substance Abuse Facilities
713940 – Fitness and Recreational Sports Centers
623990 – Other Residential Care Facilities
624229 – Other Community Housing Services
624221 – Temporary Shelters
621498 – All Other Outpatient Care Centers

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
Physical Medicine and Rehabilitation Services

Includes
Physical Medicine & Rehabilitation Physicians/Physiatrists, Speech Therapists, Occupational Therapists (OT), Physical Therapists (PT), Occupational Therapy Assistants (OTA), Physical Therapy Assistants (PTA)

Excludes
Excludes Neurologists, Neurosurgeons/Neurosurgery, Neurology/Neurosurgery technicians (EEG, EMG testing) Orthopaedic Surgeons, Family Practice Physicians, Hospice and/or Palliative Care Physicians. These specialties will be included with their respective medical category.

Possible NAICS Codes
621340 – Offices of Physical, Occupational and Speech Therapists, and Audiologists
621111 – Offices of Physicians (except Mental Health Specialists)
622110 – General Medical and Surgical Hospitals
561320 – Temporary Help Services
621399 – Offices of All Other Miscellaneous Health Practitioners
611692 – Automobile Driving Schools
519290 – Web Search Portals and All Other Information Services
611699 – All Other Miscellaneous Schools and Instruction
621420 – Outpatient Mental Health and Substance Abuse Centers
621999 – All Other Miscellaneous Ambulatory Health Care Services

Includes
Filing Cabinets; Safes; Post Office Furniture; School Furniture; Blackboards.

Excludes
Dental X-Ray Film Protective Safes; Visible Record Equipment.

Possible NAICS Codes
337214 – Office Furniture (except Wood) Manufacturing
337211 – Wood Office Furniture Manufacturing
334111 – Electronic Computer Manufacturing
337215 – Showcase, Partition, Shelving, and Locker Manufacturing
337122 – Nonupholstered Wood Household Furniture Manufacturing
337127 – Institutional Furniture Manufacturing
332999 – All Other Miscellaneous Fabricated Metal Product Manufacturing