Partners Behavioral Health Management TPL/Medicare Bypass List Service
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1 Partners Behavioral Health Management TPL/Medicare Bypass List Service Revenue Code Therapeutic Leave 100 ICF/MR Hospital Admission & General Hospital H NON-HOSPITAL MEDICAL DETOXIFICATION H0012HB - SA Non-Medically Monitored Community Residential Tx H SA Medically Monitored Community Residential Tx H0014 Ambulatory Detox H SUBSTANCE ABUSE INTENSIVE OUTPATIENT H0015 AD - Adolescent SAIOP H RESIDENTIAL LEVELS 3 AND 4 H0019 HK - Residential IV, 4 beds or less H0019 HQ - Residential Level III, 4 beds or less H0019 TJ - Residential III, 5 beds or more H0019 UR - Residential IV 5 beds or more H0019U5 - Level 4, Secure, More Than 5 beds H0019UQ - Level 3 4 beds or less H0019US Level 3, 5+beds H Opioid Treatment Services H0020U3BU - Opioid Treatment Services H MENTAL HEALTH ASSESSMENT H TARGETED CASE MANAGEMENT MH/SA H0032 EP - TARGETED CASE MANAGEMENT MH/SA
2 H0032 U5 - Critical Time Intervention (CTI) H0032EN - Case Management Encounter H0032FV Case Management Incentive H0032HF - High Fidelity Wraparound H0032U5DJ Critical Time Intervention (CTI) H MENTAL HEALTH PARTIAL HOSPITALIZATION H Trauma Informed Care Management H0038HQU4 (B3) Peer Supports - Group H0038HQU4DJ (B3) Peer Support Group H0038U4 (B3) Peer Supports - Individual H0038U4DJ (B3) Peer Supports Individual H0038U4EN - Peer Support Encounter H ASSERTIVE COMMUNITY TREATMENT TEAM H0040DJ - ACTT Assertive Community Treatment Team H0040EN -ACTT Assertive Community Treatment Team H0040ENDJ - ACTT Assertive Community Treatment Team H0045HQU4HA (B3) Child Group Respite H0045HQU4HB (B3) Adult Group Respite H0045U4HA (B3) Child Individual Respite H0045U4HB (B3) Adult Individual Respite H Level I Family Type H MOBILE CRISIS MANAGEMENT H2011AX - Crisis Assessment H2011HA - MORES Week 1
3 H2011HATX - MORES Weeks 2-4 H2011HATXU5 - MORES Weeks 5-8 H2011HI - MOBILE CRISIS MANAGEMENT Innovations Rate H2011HK - Mobile Crisis Management Enhanced Rate H2011U4HI (B3) IDD - Crisis Services - Primary Response H2012HA - CHILD/ADOLESCENT DAY TREATMENT H DEVELOPMENTAL THERAPIES - PROFESS IND H2014EN - Developmental Therapy Encounter H2014HM - DEVELOPMENTAL THERAPIES - PARAPROF IND H2015 Community Networking H2015HQ Community Networking Group H2015HQU4 (B3) Community Networking - Group H2015HT - COMMUNITY SUPPORT TEAM H2015HTDJ - Community Support Team H2015U1 - CN Class &Conference H2015U1U4 (B3) Community Networking - Class and Conference H2015U2U4 (B3) Community Networking - Transportation H2015U4 (B3) Community Networking - Individual H2016 Residential Supports Level I H2016HI Residential Supports Level IV H2016HIU2 AFL Residential Supports Level IV AFL H2016HIU4 (B3) Level 4-Residential Supports H2016HIU4U2 (B3) Level 4 AFL-Residential Supports H2016U2 AFL Residential Supports Level 1-AFL
4 H2016U4 (B3) Level 1-Residential Supports H2016U4U2 (B3) Level 1 AFL Residential Supports H PSYCHOSOCIAL REHABILITATION H2017 DJ - Psychosocial Rehabilitation H Level II Program Type H INTENSIVE IN-HOME SERVICES H2022 HE - FCT CORE H2022 Z1 - FCT ENGAGEMENT AND TRANSITION H2023HQU4 (B3) Initial Group Supported Employment H2023U4 (B3) Initial Individual Supported Employment H2023U4HE (B3) Supported Employment MHSA Initial H2023U4HH (B3) Supported Employment Initial MHSA H2023U4HHDJ (B3) Supported Employment Initial MHSA H2025 Support Employment Services: Individual H2025 U2 - Supported Employment H2025HO - Specialized Consult H2025HQ Support Employment Services - Group H2025HQU4 (B3) Supported Employment - Group H2025TS Supported Employment Long Term Follow-up Individual H2025TSHQ Supported Employment Long Term Follow-up Group H2025U4 (B3) Supported Employment - Individual H2026HQU4 (B3) Maintenance Group Supported Employment H2026U4 (B3) Maintenance Individual Supported Employment H2026U4HE (B3) Supported Employment MHSA Maintenance
5 H2026U4HH (B3) Supported Employment Maintenance MHSA H2026U4HHDJ (B3) Supported Employment Maintenance MHSA (DJ) H MULTI-SYSTEMIC THERAPY (MST) H2033 M1 - MULTI-SYSTEMIC THERAPY (MST) 1 MONTH H2033 M2 - MULTI-SYSTEMIC THERAPY (MST) 2 MONTHS H2033 M3 - MULTI-SYSTEMIC THERAPY (MST) 3 MONTHS H2033 M4 - MULTI-SYSTEMIC THERAPY (MST) 4 MONTHS H2033 M5 - MULTI-SYSTEMIC THERAPY (MST) 5 MONTHS H SA HALFWAY HOUSE H SA COMPREHENSIVE OUTPAT TXT PROGRAM Q ORIGINATING SITE FEE Q3014GT - TELEMEDICINE ORIGINATING SITE FEE S5110 Natural Supports Education: Individual S5110U4 (B3) Natural Supports Education - Individual S5111 Natural Supports Education Conference S5111U4 (B3) Natural Supports Education - Conference S Level II Family Type - TFC S5145 TF - Level II Family Type TFC Trauma Focused S5145 U5 - Rapid Response Bed TFC S5145HA - IAFT Intensive Alternative Family Treatment S5145HATL - IAFT Intensive Alternative Family Treatment Therapeutic Leave S5145HT Intensive Alternative Family Treatment S5145TL -Level II Family Type - TFC TL S5150 (B3) Respite B3 Service
6 S5150 Respite: Individual S5150HQ Respite: Group S5150HQU4 (B3) Respite Group IDD S5150U4 (B3) Respite Individual IDD S5150US Respite Facility S5150USU4 (B3) Respite Facility IDD S5165 Home Modifications S5165U4 (B3) Home Modifications S CRISIS INTERVENTION (FACILITY BASED) S9484HA - Facility Based Crisis - Adolescent T1005TD Respite Nursing RN T1005TDU4 (B3) Respite Nursing RN IDD T1005TE Respite Nursing LPN T1005TEU4 (B3) Respite Nursing LPN IDD T Targeted Case Management T1017HE - TARGETED CASE MANAGEMENT IDD T1017HEEP -Targeted Case Management - EPSDT T1019U4 (B3) Individual Support T1019U4DJ (B3) Individual Supports T DIAGNOSTIC ASSESSMENT (MH/SA) T1023GT - TELEMEDICINE DIAGNOSTIC ASSESSMENT T1999 Individual goods and Services T2013 In-Home Skill Building Individual T2013HQ In-Home Skill Building Group
7 T2014 Residential Supports Level ll T2014U2 AFL Residential Supports Level ll T2014U4 (B3) Level 2 - Residential Supports T2014U4U2 (B3) Level 2 AFL - Residential Supports T2016 U5 - BH Crisis Assessment and Intervention T2016HIU4 (B3) Level 5 - Residential Supports T2016HIU4U2 (B3) Level 5 AFL Residential Supports T2020 Residential Supports Level III T2020U2 -AFL Residential Supports Level III - AFL T2020U4 (B3) Level 3 - Residential Supports T2020U4U2 (B3) Level 3 AFL - Residential Supports T2021 Day Supports Individual T2021HQ Day Supports Group T2021HQU4 (B3) Day Support - Group T2021U4 (B3) Day Supports - Individual T2025 Specialized Consultation Services T2025 U1 - Self Determination Support T2025HO Specialized Consultative Service (BCBA) T2025HOU4 (B3) Specialized Consultative Services - BCBA T2025U4 (B3) Specialized Consultative Services T2027 Day Supports Developmental Day T2027U4 (B3) Developmental Day T Assistive Technology Equipment and Supplies T2029U4 (B3) Assistive Technology Equipment and Supplies
8 T2033 U5 - Supported Living 1 T2033HI - Supported Living 2 T2033-Supported Living 1 T2033TF - Supported Living 3 T2034 Out of Home Crisis T2034U4 (B3) Crisis Services - Out of Home T2039 Vehicle Modification T2039U4 (B3) Vehicle Modifications T2041 B3 - Community Guide Monthly B3 Service T2041 Community Navigator Monthly T2041 U2 - Community Navigator EOR Training Monthly T2041U1 Community Navigator Start Up Training T2041U1U4 (B3) Community Guide - Periodic T2041U4 (B3) DI Community Guide - Monthly T2041U4EP (B3) Community Guide EPSDT T2041U4U5 (B3) Community Guide - Monthly
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