Medicaid targeted case management billing
[DOC File]Service Description - Michigan
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Typically, case management may not be reported for the same time that other Medicaid-covered services (e.g., medication reviews, skill building) are occurring. However, in cases where a per diem is being paid for a service – e.g. CLS and Personal Care – it is acceptable to report units of case management for the same day.
[DOCX File]Care Coordination
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Aug 04, 2016 · Progress Notes – School Based Targeted Case Management. ... Medicaid Number: Last Name; First Name; WVEIS Number. Date of Birth. Diagnosis Code. School. County. Targeted Case Manager (Print) Month /Year. Service Provided. Procedure Code. T1017. SE. Types of Contact: 1. Face to Face 2. Correspondence 3.
[DOC File]TARGETED CASE MANAGEMENT ENROLLMENT TIPS
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instructions for completing florida medicaid provider enrollment application for cms targeted case managers (CMS Early Steps, Medical Foster Care, and Primary Care Projects Contract Providers) Name of Business or Individual: Enter applicant’s last name, …
[DOC File]Interim Guidelines for Fifteen-Minute Billing for Targeted ...
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Targeted Case Management while a child is in the hospital. Providers can serve children who are in any hospital and they will be reimbursed the current quarter hour rate for those services when services provided are medically necessary and not duplicative of services provided by …
[DOC File]INDIVIDUALIZED EDUCATION PLAN
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If another provider outside the school system may be (is) billing your child’s Medicaid benefits for the same Targeted Case Management service on the same date as the county school district, the county school district will not duplicate the outside provider’s Medicaid billing.
[DOC File]Division of Youth Services (DYS) and Division of Children ...
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Billing providers of DYS targeted case management services must meet the criteria located in Section 141.000 in order to be eligible for participation in the Arkansas Medicaid Program. 201.120 Reserved 11 …
[DOC File]PC-ACE Pro32 – Completing the Reference Files
https://info.5y1.org/medicaid-targeted-case-management-billing_1_028e90.html
Billing Line Items Tab. Claim Diagnosis Code – Required. This is a required field for electronic claims submission. Waiver Providers and Targeted Case Management (TCM) will have only one diagnosis code to choose from V0001 (Waiver). This code must be input or selected in box 1 of this field. Line 1 – Service Dates – Required.
[DOC File]Targeted Case Management Section II
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262.400 Special Billing Procedures 262.410 Completion of Form Medicare/Medicaid Deductible and Coinsurance 10-13-03 Medicare billing is not applicable to targeted case management services. 262.420 Services Prior to Medicare Entitlement 7-1-07 Services that have been denied by Medicare with the explanation “Services Prior to Medicare ...
[DOC File]Targeted Case Management Tip Sheet - Kentucky
https://info.5y1.org/medicaid-targeted-case-management-billing_1_f4645b.html
The one year post-bachelor work experience must be either: 1) working with the targeted population—abused, neglected children and/or adults OR 2) providing case management services in another setting such as the local community mental health center. Only ongoing . cases can be coded as TCM. Agency services not coded to TCM:
[DOC File]LIST OF BILLABLE AND NON-BILLABLE ACTIVITIES
https://info.5y1.org/medicaid-targeted-case-management-billing_1_f3457d.html
Any activity undertaken by an employee who is not a case/targeted case manager or case manager supervisor is not a billable activity. A billing unit is defined as 15 minutes of billable activities. The sections below include some examples of the billable and non-billable activities. This listing is not meant to be all –inclusive.
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