Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York

Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York

Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) is a legal document that was released by the New York State Department of Health - a government authority operating within New York.

FAQ

Q: What is the Practitioner Specialty Provider Agreement?
A: The Practitioner Specialty Provider Agreement is a legal agreement between providers and the Pre-exposure Prophylaxis Assistance Program (Prep-Ap) in New York.

Q: What is the Pre-exposure Prophylaxis Assistance Program (Prep-Ap) in New York?
A: The Pre-exposure Prophylaxis Assistance Program (Prep-Ap) is a program in New York that provides assistance for pre-exposure prophylaxis (Prep), a medication used to prevent HIV infection.

Q: What is the purpose of the Practitioner Specialty Provider Agreement?
A: The purpose of the Practitioner Specialty Provider Agreement is to establish a partnership between providers and the Prep-Ap program to ensure access to Prep medication for patients at risk of HIV infection.

Q: Who can enter into the Practitioner Specialty Provider Agreement?
A: Healthcare practitioners, including physicians, nurse practitioners, and physician assistants, can enter into the Practitioner Specialty Provider Agreement.

Q: What are the requirements for participating in the Practitioner Specialty Provider Agreement?
A: Providers must be licensed in New York, have experience in HIV prevention and care, and meet the program's eligibility criteria to participate in the Practitioner Specialty Provider Agreement.

Q: What services are covered under the Practitioner Specialty Provider Agreement?
A: The Practitioner Specialty Provider Agreement covers services related to the provision of Prep medication, including prescribing, monitoring, and patient education.

Q: How can providers enroll in the Practitioner Specialty Provider Agreement?
A: Providers can enroll in the Practitioner Specialty Provider Agreement by completing an application and submitting it to the Prep-Ap program in New York.

Q: What are the benefits of participating in the Practitioner Specialty Provider Agreement?
A: Participating providers have access to training and support from the Prep-Ap program, as well as reimbursement for services provided to eligible patients.

Q: Are there any obligations for providers under the Practitioner Specialty Provider Agreement?
A: Yes, providers have obligations to comply with the program's policies and procedures, maintain accurate records, and report data to the Prep-Ap program.

ADVERTISEMENT

Form Details:

  • Released on January 1, 2015;
  • The latest edition currently provided by the New York State Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

Download Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York

4.7 of 5 (6 votes)
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York

    1

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 2

    2

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 3

    3

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 4

    4

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 5

    5

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 6

    6

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 7

    7

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 8

    8

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 9

    9

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 10

    10

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 11

    11

  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 1
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 2
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 3
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 4
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 5
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 6
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 7
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 8
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 9
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 10
  • Practitioner Specialty Provider Agreement - Pre-exposure Prophylaxis Assistance Program (Prep-Ap) - New York, Page 11
Prev 1 2 3 4 5 ... 11 Next
ADVERTISEMENT