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MEDICAID INFORMATION RELEASE MA05-18

posted on March 02, 2009 12:18

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

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