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Procedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URH2011? hourCrisis ResolutionBy Report$59.01$58.91NH2011HA? hourCrisis Resolution-childrenBy Report$58.46$58.36NH0018Per DiemCrisis ResidentialBy ReportBy ReportBy ReportYH0018HAPer DiemCrisis Residential-childrenBy ReportBy ReportBy ReportYS9482? hourCrisis Residential- in homeBy Report$17.80$17.77NS9482HA? hourCrisis Residential- in home-childrenBy Report$17.80$17.77NOutpatient Services-Comprehensive AssessmentH2000? hourPsychologist-Independent$22.00$22.48$22.44YH2000? hourMental Health Agency$21.00$21.46$21.42YH2000HH? hourMental Health Agency - Co-occurring$21.00$21.46$21.42YH2000? hourMental Health Agency – Deaf & Home Based Treatment for Adults$30.75$31.43$31.37YH2000? hourIndependent LCSW, LCPC, LMFT - Non Agency$13.75$14.06$14.03YH2000? hourSubstance Abuse Agency$21.00$21.46$21.42YH2000? hourSubstance Abuse Agency - Non Master’s Level LADC$20.00$20.44$20.40Y-1096501-135187400H2000? hourSubstance Abuse Agency - CADC$14.50$14.81$14.79YH2000? hourIndependent LCSW, LCPC and LMFT – Non Agency$13.75$14.06$14.03YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UROutpatient Therapy-Individual/FamilyH0004? hourPsychologist-Independent$22.00$22.48$22.44YH0004? hourMental Health Agency$21.00$21.46$21.42YH0004HH? hourMental Health Agency- Co-occurring$21.00$21.46$21.42YH0004? hourMental Health Agency – Deaf & Home Based Treatment for Adults$30.75$31.43$31.37YH0004? hourIndependent LCSW, LCPC, LMFT- Non Agency$13.75$14.06$14.03YH0004? hourSubstance Abuse Agency$21.00$21.46$21.42YH0004? hourSubstance Abuse Agency - Non Master’s Level LADC$20.00$20.44$20.40YH0004? hourSubstance Abuse Agency - CADC$14.50$14.81$14.79YOutpatient Therapy-GroupH0004HQ? hourPsychologist-Independent$5.50$5.62$5.61YH0004HQ? hourMental Health Agency$5.25$5.37$5.36YH0004HQHH? hourMental Health Agency – Co-occurring$5.25$5.37$5.36YH0004HQ? hourSubstance Abuse Agency$9.00$9.20$9.18YH0004HQ? hourSubstance Abuse Agency - Non Master’s Level LADC$8.50$8.69$8.67YH0004HQ? hourSubstance Abuse Agency - CADC$7.00$7.16$7.14YH0004HQ? hourIndependent LCSW, LCPC and LMFT – Non Agency$3.44$3.52$3.51YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URH0025MonthlyFamily Psychoeducation Treatment Program Services- Children’s$73.83$75.44$75.31YH2027? hourFamily Psychoeducation Treatment Program Services- Adult’s$9.45$9.85$9.64YH0015Per DiemIntensive Outpatient Program$100.00$102.18$102.00NH0020WeeklyMedication-Assisted Treatment$60.00*$81.74$110.00****NH2010? hourMedication Management ServicesBy Report$66.11**$65.26**YH2010HA? hourMedication Management Services-Children’sBy Report$75.57**$74.59**Y-1295400400050096116HE1 hourNeurobehavioral Status exam, Psychologist or Physician (includes face-to-face time with the member and time interpreting test results and preparing the report) – First Hour$80.92$80.78N-1150620139700096116HETL1 hourNeurobehavioral Status exam-Psychologist or Physician, includes face-to-face time with the member and time interpreting tests results and preparing the report. Early intervention/individualized family service plan (IFSP). – First Hour $80.92$80.78N-1297305418465Eff.:00Eff.:96116HETM1 hourNeurobehavioral Status exam-Psychologist or Physician, includes face-to-face time with the member and time interpreting tests results and preparing the report. Individualized education plan (IEP). – First Hour$80.92$80.78NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96121HE1 hourNeurobehavioral Status exam-Psychologist or Physician, includes face-to-face time with the member and time interpreting tests results and preparing the report. – Each Additional Hour$80.92$80.78N96121HETL1 hourNeurobehavioral Status exam-Psychologist or Physician, includes face-to-face time with the member and time interpreting tests results and preparing the report. Early intervention/individualized family service plan (IFSP). – Each Additional Hour$80.92$80.78N96121HETM1 hourNeurobehavioral Status exam-Psychologist or Physician, includes face-to-face time with the member and time interpreting tests results and preparing the report. Individualized education plan (IEP). – Each Additional Hour$80.92$80.78N-659130876300096130HE1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. – First Hour of Service$80.92$80.78NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR-659130876300096130HETL1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Early intervention/individualized family service plan (IFSP). – First Hour of Service$80.92$80.78N-659130876300096130HETM1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Individualized education plan (IEP). – First Hour of Service$80.92$80.78N-659130876300096131HE1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. – Each Additional Hour$80.92$80.78N-659130876300096131HETL1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Early intervention/individualized family service plan (IFSP). – Each Additional Hour$80.92$80.78NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR-659130876300096131HETM1 hourPsychological testing -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Individualized education plan (IEP). – Each Additional Hour$80.92$80.78N96132HE1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. – First Hour of Service$80.92$80.78N96132HETL1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. Early intervention/individualized family service plan (IFSP). – First Hour of Service$80.92$80.78NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96132HETM1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. Individualized education plan (IEP). – First Hour of Service$80.92$80.78N96133HE1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. – Each Additional Hour$80.92$80.78NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96133HETL1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. Early intervention/individualized family service plan (IFSP). – Each Additional Hour$80.92$80.78N96133HETM1 hourNeuropsychological testing (e.g.) Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test, Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these test results and preparing the report. Individualized education plan (IEP). – Each Additional Hour$80.92$80.78N-659130876300096136HE1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. – First 30 Minutes of Service$40.46$40.39NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR-659130876300096136HETL1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Early intervention/individualized family service plan (IFSP). – First 30 Minutes of Service$40.46$40.39N-659130876300096136HETM1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Individualized education plan (IEP). – First 30 Minutes of Service$40.46$40.39N96137HE1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. – Each Additional 30 Minutes of Service$40.46$40.39NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96137HETL1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Early intervention/individualized family service plan (IFSP). – Each Additional 30 Minutes of Service$40.46$40.39N96137HETM1 hourPsychological or Neuropsychological test administration - two or more tests -Psychologist or Physician, includes both face-to-face time administering tests to the member and time interpreting these results and preparing the report. Individualized education plan (IEP). – Each Additional 30 Minutes of Service$40.46$40.39N96138HE1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. – First 30 Minutes of Service25.6625.61NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96138HETL1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. Early intervention/individualized family service plan (IFSP). – First 30 Minutes of Service25.6625.61N96138HETM1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. Individualized education plan (IEP). – First 30 Minutes of Service25.6625.61N96139HE1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. – Each Additional 30 Minutes25.6625.61N96139HETL1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. Early intervention/individualized family service plan (IFSP). – Each Additional 30 Minutes25.6625.61NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit1/1/19-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR96139HETM1 hourNeuropsychological and Psychological testing- Psychological Examiner interpretation and report, administered by a technician, face-to-face. Individualized education plan (IEP). – Each Additional 30 Minutes25.6625.61NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URH0040HAPer diemChildren’s Assertive Community Treatment (ACT)By ReportBy ReportBy ReportYChildren's Home and Community Based TreatmentH2021HO? hourComprehensive Community Support Services-Master’s level$23.28$24.79$23.75YH2021HU? hourComprehensive Community Support Services-Master’s level- OCFS$23.28$24.79$23.75YG9007HO? hourCollateral Services - Master’s level$23.28$24.79$23.75YG9007HU? hourCollateral Services - OCFS$23.28$24.79$23.75YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URChildren’s Behavioral Health Day TreatmentH2012HNHourlyChildren’s Behavioral Health Day Treatment-BHP Level$58.60$59.88$59.77Y-63817511620500H2012HNTLHourlyChildren’s Behavioral Health Day Treatment –BHP Level-Services in an early intervention/individualized family service plan (IFSP).$58.60$59.88$59.77YH2012HNTMHourlyChildren’s Behavioral Health Day Treatment-BHP Level-Services in an individualized education plan (IEP).$58.60$59.88$59.77YH2012HNUNHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UN two patients served$29.30$29.94$29.89YH2012HNUN TLHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UN two patients served-Services in an early intervention/individualized family service plan (ISFP)$29.30$29.94$29.89YH2012HNUN TMHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UN two patients served- Services in an individualized education program (IEP)$29.30$29.94$29.89YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URH2012HNUPHourlyChildren’s Behavioral Health Day Treatment-BHP Level UP three patients served$19.53$19.96$19.92YH2012HNUP TLHourlyChildren’s Behavioral Health Day Treatment-BHP Level UP three patients served- Services in an early intervention/individualized family service plan (ISFP)$19.53$19.96$19.92YH2012HNUP TMHourlyChildren’s Behavioral Health Day Treatment-BHP Level UP three patients served- Services in an individualized education program (IEP)$19.53$19.96$19.92YH2012HNUQHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UQ four patients served$14.65$14.97$14.94Y*H2012HNUQ TLHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UQ four patients served- Services in an early intervention/individualized family service plan (ISFP)$14.65$14.97$14.94Y*H2012HNUQ TMHourlyChildren’s Behavioral Health Day Treatment-BHP Level- UQ four patients served- Services in an individualized education program (IEP)$14.65$14.97$14.94Y-1752600281940Eff.:10/3/1200Eff.:10/3/12H2012HOHourlyChildren’s Behavioral Health Day Treatment-Master’s Level$95.00$97.07$96.90YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/URH2012HOTLHourlyChildren’s Behavioral Health Day Treatment-Master’s Level - Services in an early intervention/individualized family service plan (ISFP)$95.00$97.07$96.90YH2012HOTMHourlyChildren’s Behavioral Health Day Treatment-Master’s Level- Services in an individualized education program (IEP)$95.00$97.07$96.90YH2012HOUNHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UN two patients served$47.50$48.54$48.45YH2012HOUN TLHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UN two patients served- Services in an early intervention/individualized family service plan (ISFP)$47.50$48.54$48.45YH2012HOUN TMHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UN two patients served- Services in an individualized education program (IEP)$47.50$48.54$48.45YH2012HOUPHourlySchool-Children’s Behavioral Health Day Treatment-Master’s Level UP three patients served$31.67$32.30$32.24YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR-6591309715500H2012HOUP TLHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UP three patients served- Services in an early intervention/individualized family service plan (ISFP)$31.61$32.30$32.24YH2012HOUP TMHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UP three patients served- Services in an individualized education program (IEP)$31.61$32.30$32.24YH2012HOUQHourlySchool-Children’s Behavioral Health Day Treatment-Master’s Level UQ four patients served$23.75$24.27$24.23Y-6496059652000H2012HOUQ TLHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UQ four patients served- Services in an early intervention/individualized family service plan (ISFP)$23.75$24.27$24.23YH2012HOUQ TMHourlyChildren’s Behavioral Health Day Treatment-Master’s Level UQ four patients served- Services in an individualized education program (IEP).$23.75$24.27$24.23YTobacco Cessation Treatment Services*99406*3-10 minutesSmoking and Tobacco Cessation Counseling; individual, intermediate$8.67$8.86$8.84N99407*Greater than 10 minutesSmoking and Tobacco Cessation Counseling; individual, intensive$16.81$17.18$17.15NProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit through 7/31/18Maximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19*PA/UR99411*30 minutesPreventive Medicine, Group Counseling (Tobacco Cessation Group Counseling)$11.54$11.79$11.77N99412*60 minutesPreventive Medicine, Group Counseling (Tobacco Cessation Group Counseling)$15.04$15.37$15.34NMental Health Psychosocial Clubhouse ServicesH203015 minutesMental Health Clubhouse services$5.91$6.04$6.03YSpecialized Group ServicesH201915 minutesWellness Recovery Action Planning$10.08$10.73$10.68YH201915 minutesRecovery Workbook Group$10.08$10.73$10.68YH201915 minutesTrauma Recovery and Empowerment Group$10.08$10.73$10.68YH201915 minutesDialectical Behavior Therapy$10.08$10.73$10.68YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19-12/31/19*Maximum Allowance per?unit effective 1/1/20-4/30/20*****PA/UR-649605508000H2021HE? hourComprehensive Community Support Services-Functional Family Therapy$35.63***$29.31***$35.17*****YH2033? hourMulti-systemic Therapy for juveniles (MST)$38.51***$31.69***$38.03*****YH2033HK? hourMulti-systemic Therapy for juveniles –Problem Sexualized Behavior (MST-PSB)$48.02***$39.50***$47.40*****YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit8/1/18-6/30/19*Maximum Allowance per?unit effective 7/1/19-12/31/19*Maximum Allowance per?unit effective 1/1/20-4/30/20*****PA/UR-6381754254500G9007HE? hourCollateral Services - Functional Family Therapy$35.63***$29.31***$35.17*****YG9007HT? hourCollateral Services - Master’s level (MST)$38.51***$31.69***$38.03*****YG9007HK? hourCollateral Services - Master’s level (MST-PSB)$48.02***$39.50***$47.40*****YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit effective 5/1/20-*******PA/UR-649605508000H2021HEweeklyComprehensive Community Support Services-Functional Family Therapy$288.03*******YH2033weeklyMulti-systemic Therapy for juveniles (MST)$572.76*******YH2033HKweeklyMulti-systemic Therapy for juveniles –Problem Sexualized Behavior (MST-PSB)$740.05*******YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit Effective 4/1/20********PA/URH2010AF? hourMedication Management Services – Physicians$74.56********YH2010 HAAF? hourMedication Management Services – Children’s Physicians$80.20********YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unit effective 7/1/19-3/31/20*Maximum Allowance per?unit effective 4/1/20********PA/URChildren's Home and Community Based TreatmentH2021HN? hourComprehensive Community Support Services-BHP$14.65$16.58YH2021HUU1? hourComprehensive Community Support Services-BHP-OCFS$14.65$16.58YG9007HN? hourCollateral Services - BHP$14.65$16.58YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unitPA/URH0004ST? hourOutpatient Services – Trauma Focused Cognitive Behavioral Therapy$25.93******YH2010HF? hourMedication Management Services - SUBOXONE$65.26******YH2010HFAF? hourMedication Management Services – SUBOXONE - Physician$74.56******Y96112HE1 hourAdaptive Assessment – First hour$84.69******N96113HE30 minutesAdaptive Assessment – Each additional 30 minutes$42.35******NBehavioral Therapies for Disruptive Behavior Disorders*****T1027HA? hourTriple P 1:1 $21.42******YT1027HAHQ UN? hourTriple P – Group 2-4 members$10.99******YT1027HAHQ UR? hourTriple P – Group 5-7 members$4.61******YT1027HAHQ US? hourTriple P – Group 8+ members$2.97******YT1027TJHQ UN? hourIncredible Years – Group 2-4 members$12.51******YProcedure CodeModifierModifierUnitService DescriptionMaximum Allowance per?unitPA/URT1027TJHQ UR? hourIncredible Years – Group 5-7 members$5.22******YT1027TJHQ US? hourIncredible Years – Group 8+ members$3.38******YT1027HO? hourParent-Child Interaction Therapy (PCIT) 1:1$23.94******Y-1040130-1143000*The Department is seeking and anticipates receiving CMS approval for this Section.? Pending approval, the Department will reimburse providers under the new increased rate retroactively to 8/1/2018 pursuant to P.L. 2017, ch. 460. Providers must ensure that the two percent increase in reimbursement rates per P.L. 2017, Ch. $60 Part D, effective August 1, 2018 is applied in full to wages and benefits for employees who provide direct services.? Providers must document compliance with this requirement in their financial records and provide such documentation to the Department upon request.**The Department is seeking and anticipates receiving CMS approval for this Section. Pending approval, the reimbursement for these services includes a 15% increase, pursuant to P.L. 2017, ch. 460, Part E, effective retroactive to August 1, 2018.*** The Department is seeking and anticipates receiving CMS approval for this Section. Pending approval, the reimbursement for these services includes a 20% increase, pursuant to P.L. 2017, ch. 460, Part I, effective retroactive to August 1, 2018. The 20% increase is effective through June 30, 2019. **** The Department shall submit to CMS and anticipates approval for a State Plan Amendment related to these provisions. The Department will reimburse providers under the new increased rate retroactively to July 1, 2019 pursuant to P.L. 2019, ch. 343. ***** The Department shall submit to CMS and anticipates approval for a State Plan Amendment related to these provisions. The Department will reimburse providers under the new increased rate retroactively from January 1, 2020 pursuant to Resolves 2019, ch. 110.****** The Department shall submit to CMS and anticipates approval for a State Plan Amendment related to these provisions. The Department will reimburse providers for these services on the effective date of the rule.******* The Department shall submit to CMS and anticipates approval for a State Plan Amendment related to these provisions. The Department will reimburse providers under the new increased rate retroactively from May 1, 2020 pursuant to Resolves 2019, ch. 110 and Department discretion.******** The Department shall submit to CMS and anticipates approval for a State Plan Amendment related to these provisions. The Department will reimburse providers under the new increased rate retroactively from April 1, 2020 pursuant to P.L. 2019, ch. 616 and Department discretion.Modifiers-64770019939000HA-Child/adolescent programHE-Mental health programHF-Substance abuse programHH-Integrated mental health/substance abuse programHK-Specialized mental health program for high-risk populationsHN-Bachelors degree level HO-Masters degree level-571500-5588000HQ-Group settingHT-Multi-disciplinary teamHU-Funded by child welfareTJ-Program group, child and/or adolescent ................
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