View Article

Current Articles | Archives | Search

Back

MEDICAID INFORMATION RELEASE MA06-24

posted on March 02, 2009 12:18

July 3, 2006

MEDICAID INFORMATION RELEASE MA06-24

TO: Developmental Disabilities Agencies (DDA)

FROM: Leslie M. Clement, Administrator

SUBJECT: NEW DDA PROCEDURE CODES EFFECTIVE JULY 1, 2006

Beginning July 1, 2006, DDAs may bill for Pharmacological Management and a Comprehensive Intensive Behavioral Intervention (IBI) Assessment when provided in accordance with IDAPA 16.04.11, “Developmental Disabilities Agencies (DDA)”. These services will be subject to current DDA limitations and the limitations outlined in IDAPA 16.03.10, “Medicaid Enhanced Plan Benefits” that will be published in the August edition of the Idaho Administrative Bulletin.

These services will be as follows:

Service	CPT or HCPCS Code	Description	Place of Service	Rate
Pharmacological Management	90862	Pharmacologic management, including prescription use, and review of medication with no more than minimal medical psychotherapy. 1 unit = 1 visit	11 – Office 12 – Home 99 – Other	$50.26/visit
Comprehensive IBI Assessment	T2024	Service Assessment. Specify exact time. 1 unit = 15 minutes PA required	11 – Office 12 – Home 99 – Other	$11.35/unit

The Department is continuing to work on developing an additional DDA service called Supportive Counseling. Further information will be provided as it becomes available through a separate Information Release and in the August edition of the Idaho Administrative Bulletin.

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.

LMC/ds/sw

E-mail this article