Posts tagged: Counseling

medicaid rates for mental health counseling

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By , June 9, 2015 1:37 am
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  • medicaid rates for mental health counseling

    http://www.hfs.illinois.gov/assets/cmhs.pdf
    Community Mental Health Services – Illinois Department of …
    The HFS authorized rates for Medicaid-funded mental health services provided
    ….. in the client's Individual Treatment Plan (e.g., individual therapy/counseling).

    https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
    Behavioral Health Outpatient Treatment – Nevada Medicaid and …
    For current Nevada Medicaid Rates, refer to the Behavioral Health Provider Type
    14 Reimbursement … Smoking Cessation Counseling for Pregnant Women.

    http://www.hca.wa.gov/medicaid/billing/documents/guides/mental_health_svc_mpg.pdf
    MENTAL HEALTH SERVICES Provider Guide – Health Care Authority
    Apr 1, 2015 … State for Medicaid, the children's health insurance program (CHIP), and state- ….
    Who is eligible to provide and bill for mental health services? ………………………………
    ………..10. Coverage Table. ….. Alcohol or substance misuse counseling (SBIRT)
    ….. Physician-Related/Professional Services Fee …

    https://www.nachc.com/client/MentalHealthSA_PPSReport-%20Final%20Nov%202010.pdf
    Health Center Reimbursement for Behavioral Health Services
    Health Center Reimbursement for Behavioral Health Services in Medicaid.
    Prepared By: … therapists, but this also varies greatly across the country.
    Summary of …

    http://www.omh.ny.gov/omhweb/clinic_restructuring/part599/guidance.pdf
    Part 599 guidance document – New York State Office of Mental Health
    Jan 4, 2012 … Medicaid Fee-for-Service Reimbursement ….. necessary that the same therapist
    or licensed medical professional who delivered the therapy or.

    http://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/GA/GA-11-007-Att.pdf
    Assistant – Medicaid.gov
    Licensed Associate Marriage and Family Therapist (LAMFT); … The Community
    Behavioral Health Rehabilitation Services (CBHRS) rates also take into account
     …

    http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Downloads/EPSDT_Coverage_Guide.pdf
    Coverage in the Medicaid Benefit for Children and … – Medicaid.gov
    Mental Health and Substance Use Services . ….. States may develop a bundled
    payment rate to pay for the physical health screening components …. Counseling
    and therapy, including to eliminate psychological barriers that would impede …

    http://www.integration.samhsa.gov/Reimbursement_of_Mental_Health_Services_in_Primary_Care_Settings.pdf
    Reimbursement of Mental Health Services in Primary Care Settings
    Table 4.2: Medicaid Payment of Mental Health Services to CMHCs … to
    reimbursement for mental health in primary care. …… and Management Services
    Guidelines, when counseling and/or coordination of care dominates (more than
    50 per-.

    http://www.dhs.state.mn.us/dhs16_162941.pdf
    Mental Health Codes and Maximum Adjusted FFS RAte by Date of
    3 days ago … MH Procedure CPT or HCPC Codes and Rates- 01-01-15 (Update 03-27-15).
    Mental Health Codes and Maximum Adjusted FFS Rate by Date of ….. Dialectical
    Behavior Therapy (DBT) Intensive Outpatient Programs (IOP) ….. Center for
    Medicare and Medicaid (CMS) Resource Based Relative Value Scale.

    http://www.sprc.org/sites/sprc.org/files/tipsandstrategiesforbilling.pdf
    Tips and Strategies for Billing for Mental Health Services in a …
    Mental health services, for which billing may prove a challenge, include: … codes
    are monitored by the Centers for Medicare and Medicaid Services (CMS). …
    Level II codes) for which they allow reimbursement, based on their State plan. …
    Management Services Guidelines, when counseling and/or coordination of care
     …

    http://www.dhhs.nh.gov/ombp/documents/medicaidrates2010.pdf
    New Hampshire Medicaid Provider Reimbursement Rate …
    Oct 1, 2010 … New Hampshire Department of Health and Human Services. 126-A:18-b
    Medicaid Reimbursement Rates. Biennial ….. In addition to professional services,
    outpatient hospital laboratory, imaging, and therapy services are also … receiving
    facility (DRF) for psychiatric services at a Price per Point of $3,564.21.

    http://www.dhhr.wv.gov/bms/Documents/Chapter502_BHCS.pdf
    Chapter 502 – Department of Health and Human Resources – State …
    Jul 1, 2014 … 502.17.1 Behavioral Health Counseling, Professional, Individual . …. The West
    Virginia Medicaid Program offers a comprehensive scope of ….. Each agency
    shall have a chart demonstrating clinical chain of command and …

    http://www.paymentinitiative.org/referenceMaterials/Documents/BH_Rate_Setting_Presentation%20Final.pdf
    Behavioral Health Rate Setting – Health Care Payment Improvement …
    Jun 5, 2014 … behavioral health fee schedules and rate structures. 4 …. Proposed Arkansas
    Medicaid Behavioral Health Rates (1/3) … Health Counseling.

    http://devepi.duhs.duke.edu/pubs/mentalhealthcost.pdf
    Guide To The Mental Health Service Cost Data For The Great – Duke …
    Medicaid reimbursement to individual hospitals in North Carolina. Negotiated
    rates for …. billed rate for individual therapy in a mental health clinic is the same.

    http://dhss.alaska.gov/dhcs/Documents/PDF/Recipient-Handbook.pdf
    Alaska Medicaid Recipient Handbook – Alaska Department of Health …
    situation is different, and there are many categories of medical assistance, each
    with its own …. Eligibility for Community Behavioral Health. Services .

    http://www.oregon.gov/oha/healthplan/DataReportsDocs/January%202013%20Mental%20Health%20Fee%20Schedule.pdf
    January 2013 Mental Health Fee Schedule – Oregon.gov
    Medicaid Procedure Codes and Reimbursement Rates. For Mental Health
    Services Provided On or After 01/01/2013. Code. Modifier(s. ) Authorized …..
    $70.47 The therapist provides interactive psychiatric services in an office or
    outpatient …

    http://www.rand.org/content/dam/rand/pubs/working_papers/2010/RAND_WR777.pdf
    Guide to the Behavioral Health Care System in the District of Columbia
    Prepared for the District of Columbia Department of Mental Health ….. 3 The
    District of Columbia Public Schools also offer counseling and social work
    services, which ….. In the past, FSMHCs have had a different Medicaid
    reimbursement fee.

    http://www.ndcrc.org/sites/default/files/florida_medicaid.pdf
    Florida Medicaid Provider Handbook – NDCRC
    Behavioral Health Services for Florida Medicaid Members–. Covered Services ….
    A hospital's per diem (daily rate) for inpatient mental health hospital care.

    http://ww2.nasbhc.org/RoadMap/Public/Funding_IB_MedicaidReimbursement.pdf
    Medicaid Reimbursement in School-Based Health Centers: State …
    Practicing in a school setting, medical and mental health providers are afforded
    richer … to Medicaid and SCHIP reimbursement for health services rendered to
    …. intervention, acute counseling, and the engagement of harder- to-reach youth
     …

    http://www.nwi.pdx.edu/pdf/Case_Rate_Scan_for_CMEs.pdf
    Case Rate Scan for Care Management Entities – NWI
    community-based services such as in-home therapy, inpatient psychiatric
    hospitalization, … Medicaid. Not Applicable. Mental Health. Not Applicable. Other.

    medical hourly rate billed for counseling

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    By , May 31, 2015 7:38 pm
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  • medical hourly rate billed for counseling

    http://www.asha.org/uploadedFiles/2012-Medicare-Fee-Schedule-SLP.pdf
    2012 Medicare Fee Schedule for Speech-Language Pathologists
    Feb 23, 2012 … o Therapy Cap and Alternatives (Extension of and changes to therapy … Please
    check the ASHA Billing and Reimbursement Web site at …. Payment Rules of the
    Medicare Physician Fee Schedule . …… Standardized cognitive performance
    testing (eg, Ross Information Processing Assessment) per hour of a.

    http://www.mosaicrehab.com/forms/seattle/New_Client_Intake_Paperwork_Psych_updated_7_22_14.pdf
    Psychology New Patient Intake Packet – mosaic
    I also authorize my insurance benefits to be paid directly to MOSAIC … If yes,
    please list prescribing physician, medication(s), dosage, and why ….. to retrieve
    your child, you will be billed directly for that time at the hourly rate of your
    therapist.

    http://www.dhcs.ca.gov/formsandpubs/laws/Documents/StatePlan%20Supplement%203%20to%204.19-D.pdf
    Supplement 3 – California Department of Health Care Services

    http://www.mosaicrehab.com/forms/seattle/New_Client_Intake_Paperwork_Psych_updated_7_22_14.pdf
    Psychology New Patient Intake Packet – mosaic
    I also authorize my insurance benefits to be paid directly to MOSAIC … If yes,
    please list prescribing physician, medication(s), dosage, and why ….. to retrieve
    your child, you will be billed directly for that time at the hourly rate of your
    therapist.

    http://wmdpg.org/wp-content/uploads/2013/03/Hodorowicz-Get-Paid-Sat-230pm.pdf
    Medicare's Intensive Behavioral Counseling for Obesity … – WM DPG
    Mar 20, 2013 … F. Type of billing that must be used in which provider's NPI …. Paid via Medicare
    Physician Fee Schedule (PFS). • Rates …. RD paid hourly rate.

    http://www.health.gov.nl.ca/health/mcp/providers/full_mcp_payment_schedule.pdf
    Medical Payment Schedule – Health and Community Services
    Jun 1, 2013 … Nuclear Medicine Section of the Schedule described, giving the rules for billing
    from it. … Appendix G – Hyperbaric Oxygen Therapy ….. This section lists the rates
    and conditions for the billing of premium fees associated with.

    https://www.lanecc.edu/sites/default/files/collegecatalog/cthealthrecordstech.pdf
    Health Records Technology – Lane Community College
    records, health information management, medical billing, and medical
    transcription. Health … Wages. Lane County average hourly – $18.87; average
    annual – $39,260 … Admission Information See the Counseling and Advising Cen
    - ter, e-mail …

    https://www.azdes.gov/uploadedFiles/Developmental_Disabilities/ddd_ratebook.pdf
    July 1 – Arizona Department of Economic Security
    Jul 12, 2013 … Occupational Therapy Evaluation …. codes, such as ambulance services and
    durable medical equipment, prosthetics, orthotics, and …. Qualified Vendor may
    bill the Division an hourly rate if and only if the Division authorizes …

    http://www.fmoq.org/Lists/FMOQDocumentLibrary/fr/R%C3%A9mun%C3%A9ration/Services%20non%20assur%C3%A9s%20et%20CSST/Grille%20tarifaire%20et%20affichage%20des%20frais%20admissibles/GrilleTarifaire_2013_EN.pdf
    PROPOSED PROVINCIAL FEES FOR NON INSURED SERVICES …
    Medical report on printed form … an hourly rate may be substituted for the
    suggested fees) … or a third party, including non-insured medical exam …. The
    patient who believes that the amounts billed are for services insured under the …
    and non-urgent condition where, for example, interruption of drug therapy may
    harm the …..

    https://www.carrollcc.edu/assets/publications/noncreditschedule/pdf/CareerHere/CareerHereHealthcare.pdf
    Certified Clinical Medical Assistant – Carroll Community College
    A certified clinical medical assistant is an unlicensed multi-skilled healthcare …
    AHE-199 Medical Billing for the Physician's Office … Estimated Hourly Wage** …..
    work includes setting up treatments to be applied by the therapist, assisting in …

    http://www.schoolcraft.edu/docs/default-source/curriculum-guides/medical-assisting.pdf?sfvrsn=6
    MEDICAL ASSISTING – Schoolcraft College
    Physician Office Medical Transcription skills certificate . . . . 17 cr . … Job Titles &
    Median Salaries or Hourly Rates. • Medical … work with an academic advisor or
    counselor to develop a schedule that will … 4. MA 155. Medical Insurance Billing .

    https://www.bwc.ohio.gov/downloads/blankpdf/BRM3.pdf
    Chapter 3 – Services – Ohio Bureau of Workers' Compensation
    Jun 1, 2014 … Skilled Nursing, Hourly Nursing, Home Health Aid, Social Worker … If therapy
    services with timed codes are billed over one hour/day, further ….. BWC will not
    approve medical fees for treatment by more than one physician for …

    http://www.in.gov/fssa/files/Part_10_-_Service_Def.pdf
    Part 10: Service Definitions and Requirements – State of Indiana
    Section 10.26: Specialized Medical Equipment and Supplies … A chart
    containing procedure (billing) codes and modifiers as well as unit rates is found
    in Section 10.2. …. Supported Employment Tier 4 (Hourly). T2018 U7 U5 …
    Psychosocial needs assessed and addressed, including counseling as needed
    for individuals.

    mental health counseling medicaid reimbursement rate

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    By , May 13, 2015 9:54 pm
  • AARP health insurance plans (PDF download)
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  • medicare supplement plans (PDF download)
  • aarp life insurance (PDF download)
  • aarp insurance (PDF download)
  • medicare part d (PDF download)
  • medicare part b (PDF download)
  • mental health counseling medicaid reimbursement rate

    https://www.medicaid.nv.gov/Downloads/provider/NV_BillingGuidelines_PT14.pdf
    Behavioral Health Outpatient Treatment – Nevada Medicaid and …
    For current Nevada Medicaid Rates, refer to the Behavioral Health Provider Type
    14 Reimbursement … Smoking Cessation Counseling for Pregnant Women.

    http://www.omh.ny.gov/omhweb/clinic_restructuring/part599/guidance.pdf
    Part 599 guidance document – New York State Office of Mental Health
    Jan 4, 2012 … OMH Service Rates, Weights, CPT Codes. 22. • Rate Codes … Billing Medicaid
    for Multiple Procedures on the Same Day. 29 ….. necessary that the same
    therapist or licensed medical professional who delivered the therapy or.

    http://www.dhs.state.mn.us/dhs16_162941.pdf
    Mental Health Codes and Maximum Adjusted FFS RAte by Date of
    3 days ago … MH Procedure CPT or HCPC Codes and Rates- 01-01-15 (Update 03-27-15).
    Mental Health Codes and Maximum Adjusted FFS Rate by Date of ….. Dialectical
    Behavior Therapy (DBT) Intensive Outpatient Programs (IOP) ….. Center for
    Medicare and Medicaid (CMS) Resource Based Relative Value Scale.

    http://www.dphhs.mt.gov/Portals/85/amdd/documents/AMDD%20Website%20Migration%20Documents/adultMentalHealthFeeSchedule.pdf
    Medicaid Mental Health and Mental Health Services … – DPHHS Home
    Acute care inpatient treatment is not a benefit under the Mental Health Services
    Plan. II. Practitioner Services … workers, and professional counselors. …
    reimbursed according to the Department's RBRVS system. Please … for the rates.
    . CPT.

    http://www.integration.samhsa.gov/Reimbursement_of_Mental_Health_Services_in_Primary_Care_Settings.pdf
    Reimbursement of Mental Health Services in Primary Care Settings
    Table 4.2: Medicaid Payment of Mental Health Services to CMHCs … to
    reimbursement for mental health in primary care. … rate of mental health
    problems. …… and Management Services Guidelines, when counseling and/or
    coordination of …

    http://www.dbhds.virginia.gov/library/document-library/sa-medicaid-reimburs-faqs.pdf
    Substance Abuse Services Medicaid Reimbursement – Virginia …
    Does Medicaid cover treatment for Substance Use Disorders? A1. Yes, Medicaid
    … Substance Abuse Outpatient -individual, group, and family therapy (Mental
    Health Clinic, …. Why are the reimbursement rates in 15- minute time increments
    ?

    http://www.hca.wa.gov/medicaid/billing/documents/guides/mental_health_svc_mpg.pdf
    MENTAL HEALTH SERVICES Provider Guide – Health Care Authority
    Apr 1, 2015 … State for Medicaid, the children's health insurance program (CHIP), and state-
    only funded health care …. Who is eligible to provide and bill for mental health
    services? ….. Alcohol or substance misuse counseling (SBIRT) ….. To receive
    reimbursement for the testing, the psychologist must keep a report in the.

    http://www.state.sc.us/dmh/peedee/rehab_manual.pdf
    Rehabilitative Behavioral Health Services – Medicaid Provider Manual
    Jul 1, 2010 … Medicaid Rehabilitative Behavioral Health Services Providers. SUBJECT: ……
    SCDHHS provides enrollment counseling services to. Medicaid ….. established
    Medicaid reimbursement rate, determined by the program, or the …

    http://www.sprc.org/sites/sprc.org/files/tipsandstrategiesforbilling.pdf
    Tips and Strategies for Billing for Mental Health Services in a …
    Mental health services, for which billing may prove a challenge, include: … codes
    are monitored by the Centers for Medicare and Medicaid Services (CMS). …
    Level II codes) for which they allow reimbursement, based on their State plan. ….
    Many physicians spend a significant amount of time engaged in counseling
    patients …

    http://chfs.ky.gov/nr/rdonlyres/04a3a0bb-515c-40cf-a1ca-6fab0eeba300/0/finalcmhcservicesmanualupdated752014.pdf
    Community Mental Health Center Services Manual – Kentucky …
    The Kentucky Medicaid Program Community Mental Health Center (CMHC).
    Manual …. refund of that payment amount shall be made to Medicaid as the
    amount ….. nurse, licensed professional clinical counselor, licensed marriage
    and family …

    http://www.rand.org/content/dam/rand/pubs/working_papers/2010/RAND_WR777.pdf
    Guide to the Behavioral Health Care System in the District of Columbia
    Prepared for the District of Columbia Department of Mental Health ….. 3 The
    District of Columbia Public Schools also offer counseling and social work …..
    reimbursement rate for all Medicaid provider services, including psychiatric
    services …

    http://ww2.nasbhc.org/RoadMap/Public/Funding_IB_MedicaidReimbursement.pdf
    Medicaid Reimbursement in School-Based Health Centers: State …
    Practicing in a school setting, medical and mental health providers are afforded
    richer ….. on Medicaid eligibility and visit rates for preventive services that are
    currently … intervention, acute counseling, and the engagement of harder- to-
    reach …

    http://devepi.duhs.duke.edu/pubs/mentalhealthcost.pdf
    Guide To The Mental Health Service Cost Data For The Great – Duke …
    of caring for adolescents with mental illness in a rural community,. 1993-2000.” …
    mean cost for individual outpatient therapy the total cost for this patient would be
    …. in order to verify accurate Medicaid reimbursement rates for various services …

    http://www.tapartnership.org/docs/obtainingMedicaidFunding.pdf
    How to Obtain Medicaid Funding for School-Based Services: A …
    ―Maximizing Medicaid Funding to Support Health and Mental … example, may
    offer individual or group counseling to youth at risk for mental illness or …
    collecting reimbursements is complicated and sometimes not worth the cost (
    Evans et al.

    http://www.nwi.pdx.edu/pdf/Case_Rate_Scan_for_CMEs.pdf
    Case Rate Scan for Care Management Entities – NWI
    rate, covers a defined group of services.1 Case rates used in financing CMEs
    may be limited to … community-based services such as in-home therapy,
    inpatient psychiatric … Medicaid. Not Applicable. Mental Health. Not Applicable.
    Other.

    https://www.forwardhealth.wi.gov/WIPortal/Tab/42/icscontent/provider/maxFee/pdf/mhsamaxfees.pdf.spage
    Wisconsin Medicaid Maximum Allowable Fee Schedule for …
    for Outpatient Mental Health and Substance Abuse … Wisconsin Medicaid-
    certified providers will be reimbursed the rates listed on this schedule for covered
     …

    https://www.optumhealthnewmexico.com/provider/pdf/NMSBHP_FFS_MCO_Practitioner_Fee_Schedule_1-1-13.pdf
    OptumHealth New Mexico NM Statewide Behavioral Health …
    Dec 21, 2012 … Medicaid Individual and Group Fee Schedule … Fees. None. +90785 Interactive
    complexity. Add-on Code. NA. NA … be causative/exacerbating of the primary
    mental disorder or have been ….. Family Therapy, Group Therapy, Individual
    Therapy, Initial Evaluation/Assessment, Laboratory/Pathology, Medical …

    http://www.urban.org/uploadedpdf/412315-Meeting-Parents-Health.pdf
    Meeting Parents' Health and Mental Health Needs through Medicaid …
    mental health and medical problems—can endanger … target reimbursement,
    billing, and cost barriers; … psychotherapy, behavioral therapy, and alternative.

    http://www.dhhs.nh.gov/ombp/documents/medicaidrates2010.pdf
    New Hampshire Medicaid Provider Reimbursement Rate …
    Oct 1, 2010 … New Hampshire Department of Health and Human Services. 126-A:18-b
    Medicaid Reimbursement Rates. Biennial ….. In addition to professional services,
    outpatient hospital laboratory, imaging, and therapy services are also … receiving
    facility (DRF) for psychiatric services at a Price per Point of $3,564.21.

    http://maryland.valueoptions.com/provider/handbook/Outpatient_Mental_Health_Services.pdf
    5.17 Outpatient Mental Health Services – ValueOptions® Maryland
    Outpatient Mental Health Services such as assessment and evaluation, and
    individual, group … The PMHS will only reimburse services delivered to
    individuals who are dually eligible, Medicaid … who is not part of an OMHC after
    the Licensed Professional Counselor has … emergency rooms (if included in the
    hospital rate).

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