Alternative Medicine

LT-0500

Programs that offer health care and treatment procedures that fall outside the mainstream of conventional medical practice. Most alternative approaches provide preventive care in addition to treatment of established conditions, define health as more than just the absence of disease, focus on natural healing as the treatment of choice, avoid invasive procedures to the extent possible, and approach individuals holistically dealing with their mental, emotional and spiritual needs in addition to the physical body. Many have their origins in the medical systems of non-Western cultures or in ancient healing traditions. Some alternative therapies are used instead of traditional Western "biomedical" procedures; others are complementary, used in addition to conventional care.

Autism Therapy

LR-0450

Programs that offer any of a variety of therapeutic interventions, which may be used singly or in combination, to address the range of social, language, sensory and behavioral difficulties experienced by children and adults with autism and related disorders. Because of the spectrum nature of autism and the many behavior combinations that can occur, treatment approaches must be tailored to meet the individual needs of each person. Included are behavioral and communication development approaches, specialized curricula and sensory integration; biomedical and dietary treatments including psychiatric medications, vitamins and minerals (such as Vitamin B6, magnesium and essential fatty acids), treatment using the hormone secretin and special diets; and various complementary therapies such as music, art or equestrian, speech, physical or occupational which may be used on an individual basis or integrated into an educational program.

Brain Injury Rehabilitation

LR-1570.2000

Rehabilitation programs that develop an individually tailored treatment plan that combines the resources of physical, occupational and speech/language therapists; physiatrists (physical medicine specialists); neuropsychologists/psychiatrists; cognitive rehabilitation therapists; rehabilitation nurses; vocational counselors; social workers and/or other specialists to help individuals who have been disabled by an acquired brain injury attain their maximum level of functioning and quality of life. Common disabilities experienced by ABI patients following acute treatment and medical stabilization include problems with cognition (thinking, memory, and reasoning), sensory processing (sight, hearing, touch, taste, and smell), communication (expression and understanding), and behavior or mental health (depression, anxiety, personality changes, aggression, acting out, and social inappropriateness). Therapy generally focuses on behavioral management, neuropsychological adaptation, environmental structuring, eating and swallowing management, cognitive and communication skills, daily living and social skills, self-care, ambulation, academic and vocational skills, and community reintegration. The goal of brain injury rehabilitation is to restore functions and skills that can be recovered and to help patients learn to do things differently when functioning cannot be restored to pre-injury levels.

Cancer Clinics

LT-1750.1500

Programs that provide comprehensive preventive, diagnostic and treatment services on an inpatient or outpatient basis for individuals who have cancer.

Cardiac Rehabilitation

LR-1570.1500

Multidisciplinary programs that are designed to help patients resume active and productive lives following cardiac surgery, a heart attack or stabilization of angina pectoris, and to minimize the risk of further cardiovascular problems. The therapy usually combines a structured, progressive physical activity program with patient and family education regarding the recognition, prevention and treatment of cardiovascular disease and identification and modification of specific cardiovascular risk factors which may require dietary counseling, smoking cessation, weight reduction or other modifications in behavior.

Child Health and Disability Prevention Exams

LF-7000.1600

Health care providers that offer the Child Health and Disability Prevention Program, a health assessment and treatment program for low-income children and youth through age 21 that is designed to assure early detection, diagnosis and treatment of diseases or impairments which might adversely affect the individual's growth and development. CHDP exams generally include a complete physical examination; a dental assessment; a nutritional assessment; vision and hearing screening; immunizations; urine, blood and tuberculosis screening tests; specialized laboratory tests, as needed; and health education on topics such as tobacco use prevention, lead poisoning prevention and other issues pertaining to child health.

Chiropractic

LT-1510

Programs that are based on the premise that optimum health is dependent on the degree to which the nervous system is operating efficiently and that dysfunction and disease are often caused by misalignments of the vertebrae which place pressure on nerve tissue and interfere with the conduction of nerve impulses to other parts of the body. Chiropractic treatment involves manipulation of the vertebrae to release pressure on the nervous tissue and restore the normal function of the nervous system.

City/County Hospitals

LL-3000.1500

City or county-operated health care facilities that provide a full range of inpatient services on an ability-to-pay basis and target low-income and indigent residents of the community.

Community Clinics

LN-1500

Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".

Dental Care

LV-1600

Programs that specialize in the care of the teeth and associated structures in the oral cavity including the prevention, diagnosis and treatment of diseases of the teeth and gums.

Dental Screening

LF-4900.1670

Programs that provide dental examinations to detect tooth decay and periodontal problems, and oral hygiene information; but which refer out for cleaning, fillings, extractions and other necessary dental care.

Developmental Assessment

LF-7000.1700

Programs that provide a comprehensive, structured evaluation of a child's cognitive/intellectual functioning, language and communication skills, independent living skills, social and emotional development and perceptual/motor functioning in order to identify individuals who show developmental delays, determine the nature and extent of the problem and recommend a course of treatment and care. Developmental assessments are generally offered by a developmental assessment specialist, or a team of professionals that can include a pediatrician, language specialist, audiologist, occupational therapist, child psychologist and child psychiatrist, among others. They involve age-adjusted questions regarding a child's growth, physical movements, behavior, play, and interactions with family members and the rest of the world as well as a series of tests that may include a physical exam, hearing and eye screenings, play observation, and standardized tests that present the child with specific tasks to determine areas of strength and weakness. Developmental assessments are occasionally done for adults. They can also be used to identify individuals who have developmental disabilities such as intellectual disabilities, epilepsy, cerebral palsy, autism and neurological impairments, in order to establish eligibility for state and federally funded programs.

Diabetes Management Clinics

LT-1750.1750

Programs that help people of all ages who have juvenile or adult diabetes understand and manage their illness. Services may include screening programs for early identification of the condition and associated complications; establishment of a treatment regimen; patient education; and self-management skills development assistance which may focus on use of insulin and drugs to control blood sugar levels, blood glucose monitoring, dietary management in different environments (at home, at work, in school, while dining out), menu planning, the role of exercise in relation to food intake, hygienic measures such as foot care and ways to reduce the likelihood of diabetes-related complications which may include heart disease, kidney failure, amputation, nerve damage and blindness. Included are programs that provide comprehensive preventive, diagnostic and treatment services on an inpatient or outpatient basis as well as less formal programs that emphasize education and may provide any combination of supportive services such as case management, assistance in obtaining needed products and services, and assistance in following the prescribed treatment regimen. Diabetes is a chronic, incurable disease in which the pancreas fails to produce enough insulin to allow the body to adequately metabolize sugar.

Diabetes Screening

LF-4900.1700

Programs that administer tests which determine whether an individual has diabetes, a disorder in which the pancreas produces too little insulin with the result that the body in unable to adequately metabolize sugar.

Endocrinology

LV-3300.1800

Programs that are staffed by specialists who provide comprehensive preventive, diagnostic and treatment services for people who have diseases or disorders of the ductless glands which produce hormones that affect the rate of metabolism and metabolism of specific substances, growth and developmental processes, the secretory activity of other endocrine glands, the development and functioning of the reproductive organs, sexual characteristics and libido, the development of personality and higher nervous functions, the ability of the body to meet conditions of stress, and resistance to disease. The ductless glands include the pituitary gland, the thyroid gland, the parathyroid glands, the adrenal glands, the islands of Lagerhaus in the pancreas, and the gonads.

Eye Care

LV-2400

Programs that are concerned with maintaining or improving the health of the eyes and their appropriate functioning as the organs of sight.

Eye Screening

LF-4900.2000

Programs that offer screening procedures that identify people who have targeted eye diseases or vision deficiencies that may require further examination.

General Acute Care Hospitals

LL-3000.2500

Health care facilities that are licensed to operate 24 hours per day and offer diagnostic and treatment services as well as emergency and critical care services for people who have any of a variety of illnesses or injuries which require immediate, short-term intervention.

General Laboratory Tests

LF-5280

Programs that perform a laboratory analysis of body fluids and tissue to determine the presence of irregularities or to identify unknown substances submitted for analysis.

General Medical Care

LE

Routine health care provided by internists, pediatricians, family medicine specialists, gynecologists, obstetricians, nurse practitioners, midwives, physicians' assistants or other health care providers who serve as the first point of contact with the health care system. Services focus on the prevention and early detection of health problems through regular physical examinations, blood pressure checks, mammograms and other similar procedures as well as therapeutic services for people who do not require specialty care.

Health Insurance Information/Counseling

LH-3500

Programs that offer information and guidance for people who need assistance in selecting appropriate health insurance coverage and which may also answer questions about health insurance benefits and help people complete insurance forms.

HIV Testing

LF-4900.2400

Programs that offer HIV tests which are used to identify individuals who have been infected with the Human Immunodeficiency Virus (HIV) and are at risk for developing AIDS (acquired immune deficiency syndrome) or which are used to measure progression of the disease in people known to be infected. The most common HIV screening test is the enzyme immunoassay (EIA) which most frequently uses peripheral blood drawn from the arm or a finger as a sample, but can also be conducted using serum, oral fluids or urine. Repeatedly reactive EIA tests are confirmed using the Western blot or the immunofluorescence assay (IFA). The most common test that is used to measure disease progression is the PCR (polymeraise chain reaction) or viral load test. Many programs that provide HIV testing also provide pre-testing and post-test counseling which includes information about AIDS/HIV, reducing risks for HIV transmission, emotional support to help the individual deal with the testing process and test results, and information about and referral to other AIDS-related services.

Home Nursing

LT-2800.3100

Programs that offer skilled nursing care under the guidance and supervision of a physician in the homes of recently discharged hospital patients and other people who need continuous nursing care but are not in an acute phase of their illness.

Hospice Care

LT-3000

Programs that provide a full range of supportive services for terminally ill individuals who are in the final stages of their illnesses and for their families. Services may include medical care, pain and symptom management, home nurse visitation, case management, emotional and spiritual support, and bereavement services for the patient and members of the family. Hospice care may be provided at home, in a freestanding hospice facility, a hospice unit of a hospital or in long-term care facilities such as nursing homes. In order to qualify for Medicaid or Medicare reimbursement, an individual must have a life threatening illness and must be certified by their physician to have entered the last six months of life.

Joint Replacement Surgery

LV-8300.6500-350

Programs that offer surgery that totally or partially replaces arthritic or damaged joints including those in an ankle, foot, knee, hip, shoulder, elbow or finger as a means of relieving pain and restoring functionality.

Lead Poisoning Screening

LF-4900.4500

Programs that take blood samples from young children to identify individuals who have ingested paint or other materials containing lead and have absorbed an undue amount of the substance. Results may lead to continued surveillance, testing, referrals for medical evaluation, and/or housing inspection to identify lead hazards and prevent further occurrences of lead poisoning. Included are screenings conducted during home visits and clinic-based screening.

Medical Equipment/Supplies

LH-5000

Programs that pay for or provide necessary in-home hospital equipment, monitoring devices, respiratory aids, prevention kits and other medical supplies that are required by people who want to prevent the transmission of an infectious disease, are coping with the effects of a chronic health condition or disability or are convalescing following surgery or illness. Included are programs that provide medical equipment on a loan basis as well as those that provide equipment that people can keep.

Medical Information Services

TJ-3200.5000

Programs that provide information about specific health and health-related topics including diseases and conditions, birth control, alcohol and drug abuse, mental health, safety and other similar topics that interested individuals can access on a website or in person, or by telephone, email, chat, text or other communication channel. Information may be in a self-serve, browsable format (for example a web resource directory or library of audio recordings) or provided by live agents with expertise in the field.

Military Hospitals

LL-3000.5300

Health care facilities that provide general clinical and hospitalization services primarily for active duty military personnel, but also for military dependents and retired personnel, subject to space and availability of medical staff.

Neurology

LV-5500

Programs that are staffed by specialists who provide comprehensive medical management including preventive, diagnostic and treatment services for individuals who have diseases or injuries that affect the central, peripheral or autonomic nervous systems including the brain, cranial nerves, spinal cord, spinal nerves and other related structures.

Organ Donor Assistance Programs

LH-0500.6330

Programs that provide monetary support to defray the expenses of individuals who are willing to donate a kidney, bone marrow or other organs or tissue. The financial assistance is intended to help living donors meet their expenses and is not available to people who intend to donate organs posthumously.

Orthopedic Surgery

LV-8300.6500

Programs that are staffed by physicians who have special expertise in the care of the musculoskeletal system including the bones, joints, muscles, associated nerves, arteries and the overlying skin. Much of the orthopedic surgeon's practice involves the performance of surgical procedures, but many conditions are treated medically or physically through the use of braces, casts, splints or physical therapy. Orthopedic surgeons provide care for a wide variety of problems that may be present at birth, or develop at any time during the person's lifetime including congenital deformities, trauma, infections, tumors, degenerative conditions, and metabolic disturbances that fall into the category of musculoskeletal abnormalities. Orthopedics may also involve the treatment of secondary muscular problems in patients who suffer from various central or peripheral nervous system lesions such as cerebral palsy, paraplegia or stroke.

Pain Management

LT-6600

Multidisciplinary programs that specialize in the treatment of individuals who have chronic, severe pain of organic origin that has not responded to medical or surgical therapy. Treatment is individualized and may include occupational therapy, muscle relaxation, behavior modification, stress management, biofeedback, psychological and psychosocial counseling, nutrition counseling, food allergy testing, exercise programs and a variety of physical intervention techniques including electrical stimulation of selected peripheral nerves and laser biostimulation.

Pediatrics

LV-6800

Programs that are staffed by specialists who are concerned with the physical, emotional and social health of infants, children and adolescents from birth to young adulthood. Pediatricians have advanced training in the biological, social and environmental factors that have an influence on a developing child and have expertise in diagnosing and treating the acute and chronic diseases that are common to individuals in this age range.

Personal Safety Education

JR-8200.6500

Programs that are designed to increase public awareness of the measures that people can take to ensure their personal safety while engaging in specific activities that may put them at risk of accident or injury.

Prenatal Care

LJ-5000.6600

Programs that provide medical care for expectant mothers from the time of conception to the onset of labor to ensure their own physical well-being and the healthy development and birth of their child. Services generally include identification of risk factors based on age, health and/or personal and family history that may affect a woman's pregnancy; diet and lifestyle advice; routine checkups to look for signs of problems associated with pregnancy (such as edema, preeclampsia, or gestational diabetes) and to assure that the pregnancy is progressing well; ultrasound and other forms of prenatal testing to monitor fetal development and check for possible birth defects; and general information about being pregnant, e.g., what is normal and what is cause for concern, remedies for morning sickness or sleeplessness, managing weight gain and other common issues.

Prescription Medication Services

LH-6700

Programs that provide access to low-cost or difficult to obtain prescription drugs or supportive services that help patients take their medication as prescribed by their physician.

Public Health Nursing

JP-6600

Programs that protect and improve the health of the community through the use of public health nurses whose services are available through departments of public health, schools and voluntary agencies, typically in connection with medical programs supervised by physicians. Activities may include home visits to provide nursing under medical supervision for acutely ill patients and people who are chronically ill; outreach to populations who may not seek out health care through a traditional medical facility; support for physicians in public health clinics and disease detection programs; first aid and screening programs for school children; nutrition counseling; family planning information and a wide range of health education and prevention programs for the community at large which deal with personal health practices that can help to prevent illness.

Pulmonary Rehabilitation

LR-1570.7000

Programs that provide treatment services for people who have breathing problems due to lung disease or injury. Therapy includes training in the use of special breathing equipment and/or techniques for administering prescription medication; retraining in new ways of breathing, walking and working to compensate for breathing problems and to enable the body to use oxygen more efficiently; development of hour-by-hour home care schedules as needed; and patient and family education regarding the problem and the rehabilitation plan.

Sexually Transmitted Disease Screening

LF-4900.8000

Programs that identify individuals who have contracted gonorrhea, syphilis, genital herpes or other diseases that are spread by sexual contact and diagnose their conditions. The procedure includes visual examinations, blood tests and analyses of discharge or samples taken from lesions.

Skilled Nursing Facilities

LL-6000.8000

Health care facilities or distinct parts of hospitals that provide intensive nursing services as well as supportive services for people who require continuous inpatient care but who are not in an acute phase of an illness.

Specialized Medical Tests

LF-8000

Programs that use specialized instruments to examine the body or measure the extent to which specific symptoms have manifested themselves.

Specialty Hospitals

LL-3000.7800

Health care facilities that provide diagnostic and treatment services in an inpatient setting for people who have specified medical conditions.

Veteran Outpatient Clinics

LN-9000

Outpatient medical facilities operated by the U.S. Department of Veterans Affairs that provide routine primary medical care for eligible veterans. Services generally include x-rays, general health check ups, blood pressure checks, treatment for basic illnesses and laboratory tests.

Women's Health Centers

LN-9500

Programs that provide comprehensive diagnostic and treatment services which focus on conditions that are typically seen in women. Women's health centers provide services in an emotionally supportive and safe environment, and place emphasis on educational programs that encourage women to take personal responsibility for their own health and wellness.

Wound Clinics

LT-1750.9550

Programs that provide specialized treatment services for individuals who have chronic skin wounds such as pressure sores or ulcerations associated with diabetes and peripheral vascular disease that have resisted other forms of treatment.