HealthCare Provider Taxonomy Codes Lookup

Updated on July 01, 2023. Version 23.1

Healthcare Taxonomy Codes are used for a variety of reasons which include specialization of health care providers, classification, and type. The Healthcare Taxonomy Set is designed in a hierarchical order that consists of definitions, descriptions, and codes.

The taxonomy code set is updated and published semi annually in January and July of each year. The January publication is available to be used in April and the July release is available to be used in October of that year. The implementation period is the elapsed time between the release date and the effective date. This time allows for vendors, payers, and providers the chance to incorporate all changes into their platforms and systems.

Case Manager/Care Coordinator - 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]