Promoting and protecting the health and safety of all Idahoans
Español    Idaho.gov    About Us    Contact Us  

View Article

    
June 1, 2005
 
MEDICAID INFORMATION RELEASE MA05-18
 
TO:                 Developmental Disability Agencies, DD Service Coordination Agencies, Plan Developers
 
FROM:           Randy May, Deputy Administrator
 
SUBJECT:     CHANGES TO ADULT DEVELOPMENTAL THERAPY CODES
 
  •     All adults on PCS and A&D waiver services using Developmental Therapy
  •     All participants with Individual Support Plans (ISP’s) authorized  by Adult  DD      Care Management
 
Plans must include the following new code(s) for prior-authorization and claims processing for initial plans, annual plans, and addendums to plans authorized on or after July 1, 2005: 
 
Service
Old code
New CPT or HCPCS Code
Description
Home/Community Individual Developmental Therapy
H2021
97537  
Individual community and/or work reintegration training
1 unit = 15 minutes
Home/Community Group Developmental Therapy
H2021HQ
97537 HQ 
Group community and/or work reintegration training
1 unit = 15 minutes
Center-based Individual Developmental Therapy
H2014
H2032   
Individual activity therapy
1 unit = 15 minutes
Center-based Group Developmental therapy
H2014HQ
H2032 HQ
Group activity therapy
1 unit = 15 minutes
 
ISP’s containing Developmental Therapy services authorized before July 1, 2005 are not affected by this change.
 
If you have any questions, please contact Jean Christensen at 208-364-1828 or by e-mail: jchristensen@idhw.state.id.us.
 
Thank you for your cooperation with using these new codes and for your continued participation in the Idaho Medicaid Program.
 
IDAHO MEDICAID PROVIDER HANDBOOK:
This Information Release is a change to your Idaho Medicaid Provider Handbook in Section 3 -Developmental Disability Chapter, Rehabilitative and Health Related Services Guidelines Contents.
 
RM/mw