| OUTPATIENT THERAPY SERVICES |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| CLINICAL INTAKE ASSESSMENT |
90791 |
Clinical Intake Questionnaire |
Session |
$200.00 |
$136.03 |
$128.14/$155.60 |
| IND SINGLE SESSION |
90832 |
Individual Single Session |
16-37 Min |
$110.00 |
$38.54 |
$61.24/$74.36 |
| IND SINGLE SESSION |
90834 |
Individual Single Session |
38-52 Min |
$150.00 |
$77.08 |
$88.12/$107.00 |
| IND SINGLE SESSION |
90837 |
Individual Single Session |
53+ Min |
$200.00 |
$115.63 |
$136.99/$166.34 |
| INDIVIDUAL THERAPY |
90832 |
Individual Therapy |
16-37 Min |
$110.00 |
$38.54 |
$61.24/$74.36 |
| INDIVIDUAL THERAPY |
90834 |
Individual Therapy |
38-52 Min |
$150.00 |
$77.08 |
$88.12/$107.00 |
| INDIVIDUAL THERAPY |
90837 |
Individual Therapy |
53+ Min |
$200.00 |
$115.63 |
$136.99/$166.34 |
| FAMILY THERAPY |
90847 |
Family psychotherapy with patient present |
26+ Min |
$120.00 |
$73.68 |
$101.26/$122.96 |
| FAMILY THERAPY WITHOUT CLIENT PRESENT |
90846 |
KanCare approved service starting 5.1.2022 |
26+ Min |
$120.00 |
$73.68 |
$96.35/$117.00 |
| FAMILY THERAPY – HOME BASED FAMILY THERAPY |
90847-HK |
Family psychotherapy (conjoint therapy) (w/patient present) provided in home or community by a SPECIALTY TRAINED clinician |
Per Session (up to 90 min) 2 session per day limit |
$120.00 |
$114.40 |
$0.00 |
| COUPLES THERAPY |
COUPLE |
Couples Therapy – Full Fee Flat Rate |
Up to 60 Min |
$120.00 |
$0.00 |
$0.00 |
| GROUP THERAPY |
90853 |
Group Therapy – Mental Health |
Session |
$50.00 |
$25.21 |
$26.76/$32.49 |
| WELLNESS GROUP |
NB |
Wellness Group Provided By Interns |
Session |
$0.00 |
$0.00 |
$0.00 |
| WELLNESS INDIVIDUAL |
NB |
Wellness Individual Provided By Interns |
Session |
$0.00 |
$0.00 |
$0.00 |
| THEFT OFFENDER CLASS |
THEFT |
Theft Offender Class ($25.00 non refundable) |
Per Class |
$50.00 |
$0.00 |
$0.00 |
| TOBACCO CESSATION (<10 Mins) |
99406 |
Tobacco Cessation (<10 Minutes) |
Session |
$20.00 |
$9.92 |
$12.48 |
| TOBACCO CESSATION (+10 Mins) |
99407 |
Tobacco Cessation (+10 Minutes) |
Session |
$30.00 |
$19.96 |
$26.70 |
| TOBACCO CESSATION GROUP |
S9453 |
Tobacco Cessation Group |
Session |
$30.00 |
$20.00 |
$0.00 |
| TEAM CONFERENCE W/CLIENT |
99366 |
Medical Team Conference w/client present performed by non-physician |
30 Min |
$50.00 |
$20.80 |
$0.00 |
| TEAM CONFERENCE W/O CLIENT MD |
99367 |
Medical Team Conference without client present, performed by a physician |
30 Min |
$50.00 |
$20.80 |
$0.00 |
| TEAM CONFERENCE W/O CLIENT |
99368 |
Medical Team Conference without client present, performed by non-physician |
30 Min |
$50.00 |
$20.80 |
$0.00 |
| CRISIS, SCREENING & PSYCHOLOGICAL EVALUATION SERVICES |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| CRISIS THERAPY & CRISIS THERAPY HIS |
90832 |
Therapy level Crisis Service up to 16-29 min |
16-29 Mins |
$110.00 |
$38.54 |
$61.24/$74.36 |
| CRISIS THERAPY & CRISIS THERAPY HIS |
90839 |
Therapy level Crisis Service up to 74 min |
30-74 Mins |
$240.00 |
$124.70 |
$216.40 |
| CRISIS THERAPY ADD-ON & CRISIS THERAPY HIS |
90840 |
Add-on Code for each additional 30 minutes after first 74 min – up to 5 units |
75+ Mins |
$110.00 |
$62.35 |
$98.25 |
| CRISIS THERAPY & CRISIS THERAPY HIS |
S9484:U1 |
Crisis Intervention Service – KanCare only |
Hourly |
$88.48 |
$88.48 |
$0.00 |
| CRISIS PEER SUPPORT INDIVIDUAL – ADULT |
H0038 |
Peer Support – Individual Adult |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| CRISIS PEER SUPPORT INDIVIDUAL – YOUTH |
H0038 |
Peer Support – Individual Youth |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| CRISIS PEER SUPPORT GROUP |
H0038-HQ |
Peer Support – Group |
15 Min |
$8.01 |
$8.01 |
$0.00 |
| CRISIS BASIC (AC) |
T1019-HE |
Basic Level (Attendant Care) no daily limit |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| CRISIS BASIC (AC) HOME |
T1019-HE |
Basic Level (Attendant Care) no daily limit |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| CRISIS INTERMEDIATE (CPST) – ADULT |
H0036-HB |
Intermediate Level (Case Management) 7 hour/day limit |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| CRISIS INTERMEDIATE (CPST) – YOUTH |
H0036-HA |
Intermediate Level (Case Management) 7hour/day limit |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| MOBILE CRISIS INTERVENTION |
90839 |
Therapy level Crisis Service up to 74 min |
30-74 Mins |
$240.00 |
$124.70 |
$216.40 |
| MOBILE CRISIS INTERVENTION ADD-ON |
90840 |
Add-on Code for each additional 30 minutes after first 74 min – up to 5 units |
75+ Mins |
$110.00 |
$62.35 |
$98.25 |
| MOBILE CRISIS INTERVENTION |
H2011-U1 |
Mobile Crisis Intervention |
15 Min |
$56.25 |
$56.25 |
$0.00 |
| MOBILE CRISIS SUPPORT |
MCS |
Mobile Crisis Support Required to Bill MCI |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| MOBILE CRISIS PEER SUPPORT INDIVIDUAL – ADULT |
H0038 |
Peer Support – Individual |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| MOBILE CRISIS PEER SUPPORT INDIVIDUAL – YOUTH |
H0038 |
Peer Support – Individual |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| STATE HOSPITAL SCREEN STATE HOSPITAL SCREEN-HIS |
T1023 |
State Hospital Screen (Includes Travel Time) |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| STATE HOSPITAL RESCREEN STATE HOSPITAL RESCREENHIS |
T1023 |
State Hospital Screen (Includes Travel Time) |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| YOUTH SIA SCREEN YOUTH SIA SCREEN-HIS |
T1023 |
Youth SIA Screen (State Hospital Alternative Screen for Youth) |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| YOUTH SIA RESCREEN YOUTH SIA RESCREEN-HIS |
T1023 |
Youth SIA Re-Screen (State Hosp. Alternative Re-Screen for Youth) |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| CRISIS, SCREENING & PSYCHOLOGICAL EVALUATION SERVICES (continued) |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| PRTF SCREEN WITH CLIENT PRESENT |
90791 |
PRTF Screen with Client Present |
Per Service |
$200.00 |
$136.03 |
$0.00 |
| PRTF SCREEN WITHOUT CLIENT PRESENT |
PRTF-W/O |
PRTF Screen without Client Present |
Per Service |
$0.00 |
$0.00 |
$0.00 |
| CBST MEETING |
H0032-HA |
Time spent conducting the CBST meeting (related to PRTF screens) |
Per Service |
$83.20 |
$83.20 |
$0.00 |
| PASRR |
T2011 |
PASSR Screen – Paid by HealthSource |
Per Service |
$345.00 |
$0.00 |
$0.00 |
| CONTINUED STAY W/O PEER |
T2011 |
Continued Stay Screen (with KDADS approval only) |
Per Service |
$305.00 |
$0.00 |
$0.00 |
| CONTINUED STAY WITH PEER |
T2011 |
Continued Stay Screen with Peer (with KDADS approval only) |
Per Service |
$345.00 |
$0.00 |
$0.00 |
| PSYCHOLOGICAL EVALUATIONS |
|
|
|
|
|
|
| PSYCH EVAL PREP BY ADMIN STAFF |
PSYCH-PC |
Psychological Computer Testing |
15 Min |
$0.00 |
$0.00 |
$0.00 |
| EVAL – ACHIEVEMENT |
96130/96131 |
2 hours |
Hourly |
$250/$200 |
$82.84/$81.68 |
$181.04/ $120.86 |
| EVAL – ADHD |
96130/96131 |
2 hours |
Hourly |
$250/$200 |
$82.84/$81.68 |
$181.04/ $120.86 |
| EVAL – ANGER |
96130/96131 |
3 hours |
Hourly |
$250/$300 |
$82.84/$163.36 |
$181.04/ $241.72 |
| EVAL – BARIATRIC |
96130/96131 |
5 hours |
Hourly |
$250/$600 |
$82.84/$326.72 |
$181.04/ $483.44 |
| EVAL – COMPETENCY |
COMPEVL |
3 hours $315-Bill WHEATSTATE |
Hourly |
$725.00 |
N/A |
$0.00 |
| EVAL – DIAGNOSIS |
96130/96131 |
6 hours |
Hourly |
$250/$750 |
$82.84/$408.40 |
$181.04/ $604.30 |
| EVAL – DUI |
96130/96131 |
2 hours |
Hourly |
$250/$200 |
$82.84/$81.68 |
$181.04/ $120.86 |
| EVAL – FIT |
96130/96131 |
TBD |
Hourly |
$250/$200 |
TBD |
$181.04/ $120.86 |
| EVAL – FULL PSYCH |
96130/96131 |
6 hours |
Hourly |
$250/$750 |
$82.84/$408.40 |
$181.04/ $604.30 |
| EVAL- GUARDIAN |
96130/96131 |
4 hours |
Hourly |
$250/$450 |
$82.84/$245.04 |
$181.04/ $362.58 |
| EVAL – IQ |
96130/96131 |
TBD |
Hourly |
$250/$200 |
TBD |
$181.04/ $120.86 |
| EVAL – LAW ENFORCEMENT |
96130/96131 |
5 hours |
Hourly |
$250/$600 |
$82.84/$326.72 |
$181.04/ $483.44 |
| EVAL – MEMORY |
96130/96131 |
TBD |
Hourly |
$250/$150 |
TBD |
$181.04/ $120.86 |
| EVAL – PARENTING |
96130/96131 |
Must be paid $765 cash upfront |
Hourly |
$765.00 |
$0.00 |
|
| EVAL – SUBSTANCE USE |
96130/96131 |
6 hours |
Hourly |
$250/$750 |
$82.84/$408.40 |
$181.04/ $604.30 |
| EVAL – SEX OFFENDER |
96130/96131 |
Must be paid $1300 cash upfront 6 hours |
Hourly |
$1,300.00 |
N/A |
|
| MEDICATION SERVICES |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| MED EVALUATION – MD MAT MED EVALUATION – MD |
90792 |
Medication Evaluation by MD |
Per Service |
$270.00 |
$136.03 |
$223.84 |
| MED EVALUATION – APRN MAT MED EVALUATION – APRN |
90792 |
Medication Evaluation – by APRN |
Per Service |
$270.00 |
$102.02 |
$190.26 |
| MED MANAGEMENT – 99213 – MD MAT MED MANAGEMENT – 99213 – MD |
99213 |
Evaluation & Management Level 3 by MD |
Per Service |
$110.00 |
$45.86 |
$76.53 |
| MED MANAGEMENT – 99213 – APRN MAT MED MANAGEMENT – 99213 – APRN |
99213 |
Evaluation & Management Level 3 by APRN |
Per Service |
$110.00 |
$34.40 |
$65.04 |
| MED MANAGEMENT – 99214 – MD MAT MED MANAGEMENT – 99214 – MD |
99214 |
Evaluation & Management Level 4 by MD |
Per Service |
$150.00 |
$72.10 |
$112.10 |
| MED MANAGEMENT – 99214 – APRN MAT MED MANAGEMENT – 99214 – APRN |
99214 |
Evaluation & Management Level 5 by APRN |
Per Service |
$150.00 |
$54.08 |
$95.27 |
| MED MANAGEMENT – 99215 – MD MAT MED MANAGEMENT – 99215 – MD |
99215 |
Evaluation & Management Level 5 by MD |
Per Service |
$175.00 |
$105.53 |
$165.06 |
| MED MANAGEMENT – 99215 – APRN MAT MED MANAGEMENT – 99215 – APRN |
99215 |
Evaluation & Management Level 5 by MD |
Per Service |
$175.00 |
$79.15 |
$140.30 |
| SUBSTANCE USE DISORDER SERVICES |
|
|
|
|
|
|
| SUD INTAKE SUD OPEN ASSESSMENT |
90791 H0001 |
Substance Use Disorder Intake |
Per Service Per Service |
$200.00 $200.00 |
$136.03 $135.20 |
$128.14 $0.00 |
| SB123 ASSESSMENT |
H0001 |
SB123 Use for Pre and Post Assessments |
Per Service |
$200.00 |
$135.20 |
$0.00 |
| SUD INDIVIDUAL THERAPY SUD IOP INDIVIDUAL THERAPY SUD RELAPSE & PREVENTION INDIVIDUAL THERAPY |
90832 90834 90837 H0004 |
SUD Individual Therapy |
1 Unit/Service 1 Unit/Service 1 Unit/Service 15 Min Unit |
$110.00 $150.00 $200.00 $30.00 |
$38.54 $77.08 $115.63 $22.88 |
$61.24/$74.38 $88.12/$107.00 $136.99/$66.34 $0.00 |
| SUD GROUP SUD IOP GROUP SUD RELAPSE & PREVENTION GROUP |
90853 H0005 H2035 H0015-U5 |
SUD Group Therapy |
1 Unit/Service 15 Min Unit 1 Hour Unit Min 1 Unit/Service |
$50.00 $12.50 $50.00 137.50 |
$25.21 $8.84 $0.00 $137.50 |
$26.76/$32.49 $0.00 $0.00 $0.00 |
| SUD PEER MENTOR INDIVIDUAL |
H0038 H0038 HF |
SUD Peer Mentor Individual SB123 Allowed but Not with IOP Services |
15 Min 15 Min |
$16.01 $22.00 |
$16.01 $0.00 |
$0.00 $0.00 |
| SUD PEER MENTOR GROUP |
H0038-HQ |
SUD Peer Mentor Group – Medicaid Only |
15 Min |
$8.01 |
$8.01 |
$0.00 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| CBS & CSS SERVICES |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| CPST CHILD |
H0036-HA |
Community Psych Support – Child |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| CPST ADULT |
H0036-HB |
Community Psych Support – Adult |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| CPST HOUSING |
H0036-U3 |
Community Psych Support – Housing |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| PR-IND (PSYCHOSOCIAL INDIVIDUAL) |
H2017 |
Psychosocial Rehabilitation Individual |
15 Min |
$14.18 |
$14.18 |
$0.00 |
| PSTG-C (PSYCHOSOCIAL GROUP – CHILD) |
H2017-TJ |
Child Psychosocial Group |
15 Min |
$9.10 |
$9.10 |
$0.00 |
| PSTG-A (PSYCHOSOCIAL GROUP – ADULT) |
H2017-HQ |
Adult Psychosocial Group |
15 Min |
$4.55 |
$4.55 |
$0.00 |
| TCM (TARGETED CASE MANAGEMENT) |
T1017 |
Targeted Case Management (SPMI and SED) |
15 Min |
$10.83 |
$10.83 |
$0.00 |
| AC (ATTENDANT CARE) |
T1019-HE |
Attendant Care – Medicaid |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| AC HOME (ATTENDANT CARE AT CLIENT”S HOME) |
T1019-HE |
Attendant Care – Medicaid |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| PEER SUPPORT INDIVIDUAL |
H0038 |
Peer Support – Individual |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| PEER SUPPORT GROUP |
H0038-HQ |
Peer Support – Group |
15 Min |
$8.01 |
$8.01 |
$0.00 |
| PPSI (PARENT PEER SUPPORT INDIVIDUAL) |
H0038 |
(PPSI) Parent Peer Support – Individual |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| PPSG (PARENT PEER SUPPORT GROUP) |
H0038-HQ |
(PPSG) Parent Peer Support – Group |
15 Min |
$8.01 |
$8.01 |
$0.00 |
| TREATMENT PLAN MEETING |
T1017 |
Targeted Case Management (SPMI and SED) |
15 Min |
$10.83 |
$10.83 |
$0.00 |
| CRISIS BASIC (AC) |
T1019-HE |
Basic Level (Attendant Care) no daily limit |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| CRISIS INTERMEDIATE (CPST) – ADULT |
H0036-HB |
Intermediate Level (Case Management) 7hour/day limit |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| CRISIS INTERMEDIATE (CPST) – YOUTH |
H0036-HA |
Intermediate Level (Case Management) 7hour/day limit |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| HCBS SED WAIVER SERVICES |
|
|
|
|
|
|
| AC (ATTENDANT CARE) |
T1019-HK |
Attendant Care |
15 Min |
$6.93 |
$6.93 |
$0.00 |
| WRAPAROUND FACILITATION |
H2021 |
Wrap Around Facilitation |
15 Min |
$22.62 |
$22.62 |
$0.00 |
| PARENT SUPPORT INDIVIDUAL |
S5110 |
Parent Support and Training – Individual |
15 Min |
$11.31 |
$11.31 |
$0.00 |
| PARENT SUPPORT GROUP |
S5110-TJ |
Parent Support and Training – Group |
15 Min |
$3.39 |
$3.39 |
$0.00 |
| INDEPENDENT LIVING SKILLS |
T2038 |
Independent Living – Skills Building |
60 min |
$45.23 |
$45.23 |
$0.00 |
| RESPITE INDIVIDUAL |
S5150 |
Respite Individual (Waiver Only) |
15 Min |
$6.78 |
$6.78 |
$0.00 |
| RESPITE GROUP |
S5150 |
Respite Group (Waiver Only) |
15 Min |
$6.78 |
$6.78 |
$0.00 |
| PROFESSIONAL FAMILY CARE |
S9485 |
Professional Family Care – Crisis Stabilization (Waiver Only) |
Per Day |
$156.04 |
$156.04 |
$0.00 |
| ACT & IPS SERVICES |
CPT Code |
Description |
Billable Units |
Our Fee |
Medicaid/ Kancare Pays |
BCBSKS |
| ACT BILLED AS CCBHC |
H0040 |
|
Per Day |
$364.84 |
$364.84 |
$0.00 |
| ACT AC (ATTENDANT CARE) |
T1019-HE |
Attendant Care – Medicaid |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| ACT CLINICAL INTAKE ASSESSMENT |
90791 |
Clinical Intake Questionnaire |
Session |
$200.00 |
$136.03 |
$128.14/$155.60 |
| ACT CPST ADULT |
H0036-HB |
Community Psych Support – Adult |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| ACT CRISIS BASIC (AC) |
T1019-HE |
Basic Level (Attendant Care) no daily limit |
15 Min |
$6.96 |
$6.96 |
$0.00 |
| ACT CRISIS INTERMEDIATE (CPST) – ADULT |
H0036-HB |
Intermediate Level (Case Management) 7hour/day limit |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| ACT CRISIS THERAPY |
90832 |
Therapy level Crisis Service up to 16-29 min |
16-29 Min |
$110.00 |
$38.54 |
$61.24/$74.36 |
| ACT CRISIS THERAPY |
90839 |
Therapy level Crisis Service up to 74 min |
(30-74 min) |
$240.00 |
$124.70 |
$216.40 |
| ACT CRISIS THERAPY ADD-ON |
90840 |
Add-on Code for each additional 30 minutes after first 74 min – up to 5 units |
(>75 min) |
$110.00 |
$62.35 |
$98.25 |
| ACT CRISIS THERAPY |
S9484:U1 |
Crisis Intervention Service KanCare Spenddown only |
Hourly |
$88.48 |
$88.48 |
$0.00 |
| ACT MED EVALUATION – APRN |
90792 |
Medication Evaluation – by APRN |
Per Service |
$270.00 |
$102.02 |
$166.43 |
| ACT MED MANAGEMENT – 99213 – APRN |
99213 |
Evaluation & Management Level 2 by APRN |
Per Service |
$110.00 |
$34.40 |
$72.18 |
| ACT MED MANAGEMENT – 99214 – APRN |
99214 |
Evaluation & Management Level 3 by APRN |
Per Service |
$150.00 |
$54.08 |
$106.79 |
| ACT INDIVIDUAL THERAPY & ACT IND TX IDDT |
90832 |
Individual Therapy |
16-37 Min |
$110.00 |
$38.54 |
$61.24/$74.36 |
| ACT INDIVIDUAL THERAPY & ACT IND TX IDDT |
90834 |
Individual Therapy |
38-52 |
$150.00 |
$77.08 |
$88.12/$107.00 |
| ACT INDIVIDUAL THERAPY & ACT IND TX IDDT |
90837 |
Individual Therapy |
53+ Min |
$200.00 |
$115.63 |
$136.99/$166.34 |
| ACT PEER SUPPORT INDIVIDUAL |
H0038 |
Peer Support – Individual |
15 Min |
$16.02 |
$16.02 |
$0.00 |
| ACT PEER SUPPORT GROUP |
H0038-HQ |
Peer Support – Group |
15 Min |
$8.01 |
$8.01 |
$0.00 |
| ACT PR-IND (PSYCHOSOCIAL INDIVIDUAL) |
H2017 |
Psychosocial Rehabilitation Individual |
15 Min |
$14.18 |
$14.18 |
$0.00 |
| ACT PSTG-A (PSYCHOSOCIAL GROUP – ADULT) |
H2017-HQ |
Adult Psychosocial Group |
15 Min |
$4.55 |
$4.55 |
$0.00 |
| ACT PSTG-IDDT (PSYCHOSOCIAL IDDT GROUP – ADULT) |
H2017-HQ |
Adult Psychosocial Group |
15 Min |
$4.55 |
$4.55 |
$0.00 |
| ACT SUD OPEN ASSESSMENT |
90791/H0001 |
Substance Use Disorder Intake |
Per Service |
$200.00 |
$136.03/$135.20 |
$135.63 |
| ACT TCM (TARGETED CASE MANAGEMENT) |
T1017 |
Targeted Case Management (SPMI and SED) |
15 Min |
$10.83 |
$10.83 |
$0.00 |
|
|
|
|
|
|
|
| IPS BILLED AS CCBHC |
H0024 |
IPS Services |
Per Day |
$364.84 |
$364.84 |
$0.00 |
| IPS CPST EMPLOYMENT SUPPORT |
H0036-HB |
Community Psych Support – Adult |
15 Min |
$24.89 |
$24.89 |
$0.00 |
| ACT TCM (TARGETED CASE MANAGEMENT) |
T1017 |
Targeted Case Management (SPMI and SED) |
15 Min |
$10.83 |
$10.83 |
$0.00 |
|
|
|
|
|
|
|
| CCBHC |
T1040 |
CCBHC PPS Rate for Trigger Service |
Per Day |
$364.84 |
$364.84 |
$0.00 |
