Covenant Children's operates a few adult services as provider-based
departments of our hospital. These include:
Covenant Children's participates in the 340B Federal Drug Program -
a program that Covenant Children's qualifies for due to serving a
disproportionately high percentage of Medicaid patients. 340B offers lower
prices to qualifying hospitals on some drugs to help offset the lower
rates of reimbursement that Medicaid pays hospitals when compared with
commercial and other payors. However, according to federal regulations,
in order to participate in the 340B Program, a location must be provider-based.
Provider-Based Billing means that receiving care at Covenant Children's
“provider-based” locations may result in a facility, or "hospital",
charge as well as a professional, or physician, charge for outpatient
services and/or procedures. These charges will be reflected on the patient
statements that you will receive for services provided.