Domestic Violence Provider Session. Home Based Intervention Provider Session

Transcription

1 Day Treatment DTA--Full Day DTA H0037 Daily 1 per day DTA--Half Day DTA H2001 Daily 1 per day Domestic Violence DVIS--Assessment Victim DV H Minute 12 units per year DVIS--DOVE Books DV T1999 Episode 1 per year DVIS--DOVE Group DV H Minute 6 units per week DVIS--Evaluation (Offender) DV 90801:FF Episode 1 per year DVIS--Family Therapy DV Minute 12 units per week DVIS--Group Therapy DV Minute 12 units per week DVIS--Individual Therapy DV H Minute 6 units per week DVIS--Psychosocial Assessment DV 90801:ZD Episode 1 per year Home Based Intervention HBOB--CPS Daily Rate HB C9482 Daily 1 per day HBOB--CPS Monthly Rate HB M9482 Monthly 1 per month HBOB--Fam Pres BCBA Certified HB 90847:BC 15 Minutes 84 units per month HBOB--Fam Pres Therapeutic HB 90847:TF 15 Minutes 84 units per month HBOB--Fam Pres Non-Therapeutic HB 90847:FP 15 Minutes 84 units per month HBOB--Mobile Crisis Response HB H Minutes 48 units per month HBOB--SafeCare Daily Rate HB C9444 Daily 1 per day HBOB--SafeCare Monthly Rate HB M9444 Monthly 1 per month Page 1 of 6

2 Intensive Family Therapy IFT--AF CBT Home Based* IFT T0004:HM Weekly 4 units per month IFT--AF CBT Office Based* IFT T0004:OF Weekly 4 units per month IFT--Court (Therapist Only) IFT T0003:CT 15 Minute 6 units per week IFT--Family Therapy IFT Minute 6 units per week IFT--Group Therapy IFT Minute 12 units per week IFT--Individual Therapy IFT H Minute 6 units per week IFT--Psychosocial Assessment IFT 90801:ZT Episode 1 per year IFT--Psychoeducational Group IFT H Minute 8 units per week IFT--Staffing Telephonic IFT T0003:NT 15 Minute 6 units per week IFT--Staffing Therapeutic IFT T0003:TH 15 Minute 6 units per week IFT--TF CBT Home Based* IFT T0002:HM Weekly 1 per week IFT--TF CBT Office Based* IFT T0002:OF Weekly 1 per week IFT--Trauma Assessment* IFT H Minute 16 units per year * Certification Required Life Skills LS--Adolescent Life Skill LS T Minute 72 units per month LS--Homemaker LS S Minute 80 units per month LS--Parenting LS T Minute 72 units per month Multi-Systemic Treatment MST--Functional Family Therapy MST S Minutes 16 unites per week MST--Functional Family Therapy CM Daily Rate MST C0007 Daily 1 per day MST--Functional Family Therapy CM Monthly Rate MST M0007 Monthly 1 per month MST--Functional Family Therapy Daily Rate MST C5110 Daily 1 per day Page 2 of 6

3 MST--Functional Family Therapy Monthly Rate MST M5110 Monthly 1 per month MST--MST CM Daily Rate MST C0006 Daily 1 per day MST--MST CM Monthly Rate MST M0006 Monthly 1 per month MST--MST Daily Rate MST C2033 Daily 1 per day MST--MST Monthly Rate MST M2033 Monthly 1 per month Page 3 of 6

4 Nurturing-Parenting NURPR--Adolescent NU H2027:HA 15 Minute 12 units per week NURPR--Parenting NU H2027:DT 15 Minute 12 units per week NURPR--Parenting (Home Based) NU T1027:DA Episode 1 per week NURPR--Teen Parent NU H2027:TP 15 Minute 12 units per week Sexual Abuse Treatment Type Rate SAT--Able Screen SAT H0002 Episode 1 per year SAT--Adult Sex Offense-Specific Evaluation SAT H2029:ZC Episode 1 per year SAT--Adult Sex Offense-Specific Evaluation-No Charge SAT H2029:AN Episode 1 per year SAT--Court Attendance (Therapists Only) SAT T0003:CT 15 Minute 6 units per week SAT--Family Therapy SAT Minute 6 units per week SAT--Group Therapy SAT Minute 12 units per week SAT--Individual Therapy SAT H Minute 6 units per week SAT--Informed Supervision SAT S Minute 12 units per week SAT--Juvenile Sex Offense-Specific Evaluation SAT H2029:JC Episode 1 per year SAT--Juvenile Sex Offense-Specific Evaluation-No Charge SAT H2029:JN Episode 1 per year SAT--MST PSB Daily Rate SAT C2033 Daily 1 per day SAT--MST PSB Monthly Rate SAT M2033 Monthly 1 per month SAT--Plethysmograph SAT Episode 1 per year SAT--Polygraph SAT Episode 1 per year SAT-PPG Assessment SAT 90801:PG Episode 1 per year SAT--Psychoeducational Group SAT H Minute 8 units per week SAT--Psychosocial Assessment SAT 90801:ZX Episode 1 per year SAT--Sexual Abuse Intervention SAT H Minute 172 units per month SAT--Staffing Telephonic SAT T0003:NT 15 Minute 6 units per week SAT--Staffing Therapeutic SAT T0003:TH 15 Minute 6 units per week Page 4 of 6

5 Substance Use Services SUD--Antabuse Medical Evaluation SUD Episode 1 per year SUD--Antabuse Monitoring SUD H0027 Episode 1 per month SUD--Assessment SUD H Minute 16 units per year SUD--Breathalyzer Monitoring SUD Episode 6 per month SUD--Confirmation Urine SUD Episode N/A SUD--Family Therapy SUD T Minute 6 units per week SUD--Group Therapy SUD H Minute 12 units per week SUD--Individual Therapy SUD H Minute 6 units per week SUD--Multi-Family Therapy SUD Minute 6 units per week SUD--Oral swab Monitoring SUD 80100:SW Episode 1 per week? SUD--Psychosocial Assessment SUD 90801:ZS Episode 1 per year SUD--Staffing Telephonic SUD T0003:NT 15 Minute 6 units per week SUD--Staffing Therapeutic SUD T0003:TH 15 Minute 6 units per week SUD--Court Attendance (Therapists Only) SUD T0003:CT 15 Minute 6 units per week SUD--Treatment Link Coordinator SUD T Minute 20 units per month SUD--Urinalysis Monitoring SUD Episode 4 per month SUD--Urine Monitoring Ethyl Glucuronide SUD 80100:EG Episode 4 per month Mental Health Services MHE--Attachment Assessment MHE 90801:ZA Episode 1 per year MHE--Case Management MHE T Minute 4 units per month MHE--Child Welfare Intake MHE 90801:CW Episode 1 per year MHE--Clinical Report MHE D9920 Episode 4 per year MHE--Developmental Disability Assessment MHE H Minute 20 units per year MHE--Family Ecological Assessment MHE H Minute 20 units per year MHE--FBA Assessment-BCBA Certified MHE 90801:FB Episode 1 per year MHE--Intake Assessment MHE 90801:IA Episode 1 per year Page 5 of 6

6 MHE--IQ Battery MHE Episode 1 per year MHE--Medication Management - Nurse Prescriber MHE 90862:AS Episode 1 per year MHE--Medication Management - Physician MHE 90862:AF Episode 1 per year MHE--Mental Health Needs Assessment MHE 90801:MN Episode 1 per year MHE--Neuro-psych Evaluation I MHE 96118:EA Episode 1 per year MHE--Neuro-psych Evaluation II MHE 96118:EB Episode 1 per year MHE--Parent/Child Interactional MHE 90801:PI Episode 1 per year MHE--Psychiatric (Medication) Evaluation MHE 90801:ME Episode 1 per year MHE--Psychological Evaluation MHE Episode 1 per year MHE--Relinquishment Counseling MHE H Minute 24 units per year MHE--Trauma Assessment MHE 90801:ZB Episode 1 per year Page 6 of 6