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August 24, 2006
 
 
 
MEDICAID INFORMATION RELEASE MA06-34
 
TO:                  Developmental Disabilities Agencies (DDA)
 
FROM: Leslie M. Clement, Administrator
 
SUBJECT:       NEW DDA PROCEDURE CODE EFFECTIVE OCTOBER 1, 2006
 
Beginning October 1, 2006, DDAs may bill for Supportive Counseling when provided in accordance with IDAPA 16.04.11, “Developmental Disabilities Agencies (DDA).”  Supportive Counseling will be subject to the DDA limitations outlined in IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits.”
 
Supportive Counseling is defined in Subsection 011.25 of IDAPA 16.04.11, “Developmental Disabilities Agencies (DDA)” as:
 
A method used by qualified professionals to assist individuals with developmental disabilities to learn how to solve problems and make decisions about personal, social, relationship, and other interpersonal concerns. Supportive counseling does not seek to reach unconscious material.
 
This service will be as follows:
 
Service
CPT or HCPCS Code
Description
Place of Service
Rate
Supportive Counseling
H0004
 
HM modifier required
Behavioral Health Counseling delivered by a Licensed Social Worker (LSW); individual.
 
Specify exact time.
 
1 unit = 15 minutes
11 – Office
 
12 – Home
 
99 – Other
$8.00/unit
 
If you have questions regarding this information, please contact David Simnitt in the Bureau of Behavioral Health at (208) 364-1992.  Thank you for your continued participation in the Idaho Medicaid program.
 
IDAHO MEDICAID PROVIDER HANDBOOK
This Information Release updates Section 3.3 of your Idaho Medicaid Provider Handbook – Rehabilitative and Health Related Services Guidelines.
 
LC/ds