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MEDICAID INFORMATION RELEASE MA06-34

posted on March 02, 2009 12:18

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

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