Authorizations without a CDE are temporary. The comparison below shows one example of the important differences between two possible reimbursement rates: the IHS rate and the FQHC rate. Helpful Information and Presentations Adaptive Behavioral Support (ABS) Services Ambulatory Procedures Listing Audiology Birth Center Fee Schedule Chiropractor Fee Schedule Community Mental Health Providers Dental Durable Medical Equipment Fee Schedule Expensive Drugs and Devices Listing for Hospitals and ASTCs Federally Qualified Health Center CY23 Rates (pdf) If the request for BA services cannot be approved because information is missing, there are inconsistencies in the record, or the request does not meet medical necessity (in whole or part), eQHealth will schedule a peer- to-peer telephonic review with the provider in lieu of an MDT meeting. 101 CMR 358.00: Rates of Payment for Applied Behavior Analysis. Neither the State of Missouri nor its employees accept liability for any inaccuracies or errors in the translation or liability for any loss, damage, or other problem, A capitated rate is a contracted rate based on the total number of eligible people in a service area. Report a Complaint Share sensitive information only on official, secure websites. Some tribes choose to research this information and then decide what is the best fit. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), Information about novel coronavirus (COVID-19) webpage, Medical Assistance Customer Service Center (MACSC) online, October 1, 2022 to present ABCD billing guide, July 1, 2022 to September 30, 2022 ABCD billing guide, April 15, 2022 to June 30, 2022 ABCD billing guide, July 1, 2022 to present Acute physical medicine and rehabilitation billing guide, October 1, 2020 to June 30, 2022 Acute physical medicine and rehabilitation billing guide, January 1, 2020 to September 30, 2020 Acute physical medicine and rehabilitation billing guide, View all acute physical medicine and rehabilitation billing guides, July 1, 2022 to present Alien Medical Program billing guide, January 1, 2022 to June 30, 2022 Alien Medical Program billing guide, April 1, 2021 to December 31, 2021 Alien Medical Program billing guide, View all Alien Medical Program emergency assistance billing guides, January 1, 2021 to present Ambulance transportation billing guide, July 1, 2020 to December 31, 2020 Ambulance transportation billing guide, April 1, 2020 to June 30, 2020 Ambulance transportation billing guide, View all ITA transportation billing guides, July 1, 2022 to present Ground Emergency Medical Transportation (GEMT) billing guide, October 1, 2020 to June 30, 2022 Ground Emergency Medical Transportation (GEMT) billing guide, January 1, 2020 to September 30, 2020 Ground Emergency Medical Transportation (GEMT) billing guide, July 1, 2021 to present Ambulance transportation, February 29, 2020 to June 30, 2021 Ambulance transportation, July 1, 2019 to February 28, 2020 Ambulance transportation, December 1, 2016 to June 30, 2019 Ambulance transportation, January 1, 2006 to November 30, 2016 Ambulance transportation, July 1, 2022 to present ACS billing guide, July 1, 2021 to June 30, 2022 ASC billing guide, October 1, 2020 to June 30, 2021 ASC billing guide, October 1, 2022 to present ASC fee schedule, April 1, 2022 to September 30, 2022 ASC fee schedule, October 1, 2021 to March 31, 2022 ASC fee schedule, March 1, 2021 to September 30, 2021 ASC fee schedule, January 1, 2023 to present ABA billing guide, October 1, 2022 to December 31, 2022 ABA billing guide, August 1, 2022 to September 30, 2022 ABA billing guide, July 1, 2022 to present ABA fee schedule, July 1, 2021 to June 30, 2022 ABA fee schedule, July 1, 2020 to June 30, 2021 ABA fee schedule, ABA COE fee-for-service provider directory, July 1, 2022 to present Blood bank fee schedule, July 1, 2021 to June 30, 2022 Blood bank fee schedule, July 1, 2020 to June 30, 2021 Blood bank fee schedule, View all Blood Bank services fee schedules, Substance-Using Pregnant People (SUPP) program billing guide, January 1, 2022 to December 31, 2022 CUP program billing guide, October 1, 2020 to December 31, 2021 CUP women program billing guide, July 1, 2019 to September 30, 2020 CUP women program billing guide, Inpatient Prospective Payment System (IPPS), October 1, 2020 to present Childbirth education billing guide, April 1, 2019 to September 30, 2020 Childbirth education billing guide, October 1, 2017 to March 31, 2019 Childbirth education billing guide, View all childbirth education billing guides, January 1, 2007 to present Childbirth education, July 1, 2022 to present Chiropractic services billing guide, October 1, 2020 to June 30, 2022 Chiropractic services billing guide, January 1, 2020 to September 30, 2020 Chiropractic services billing guide, View all chiropractic services for children billing guides, July 1, 2022 to present Chiropractic services for children fee schedule, July 1, 2021 to June 30, 2022 Chiropractic services for children fee schedule, July 1, 2020 to June 30, 2021 Chiropractic services for children fee schedule, View all chiropractic services for children fee schedules, July 1, 2022 to present CRT products and services billing guide, January 1, 2022 to June 30, 2022 CRT products and services billing guide, October 1, 2020 to December 31, 2021 CRT products and services billing guide, July 1, 2022 to present CRT fee schedule, April 1, 2022 to June 30, 2022 CRT fee schedule, July 1, 2021 to March 31, 22 CRT fee schedule, October 1, 2022 to present Social services blanket code crosswalk, September 1, 2021 to September 30, 2022 Social services blanket codes, November 17, 2020 to August 31, 2021 Social services blanket codes, July 1, 2022 to present COVID-19 fee schedule, January 1, 2022 to June 30, 2022 COVID-19 fee schedule, July 1, 2021 to December 31, 2021 COVID-19 fee schedule, December9, 2022to present Apple Health COVID-19 vaccine policy, November 21, 2022 to December 8, 2022- Apple Health COVID - 19 vaccine policy, October 12, 2022 to November 20, 2022 Apple Health COVID-19 vaccine policy, December 16, 2022 to present Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, September 14, 2022 to December 15, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, August 19, 2022 to September 13, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, May 10, 2022 to August 18, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, April 12, 2022 to May 9, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, March 23, 2022 to April 11, 2022 Apple Health Monoclonal Antibody Treatment COVID-19 clinical policy, View all Monoclonal Antibody Treatment COVID-19 clinical policies, November 21, 2022 to present Apple Health COVID-19 testing clinical policy, March 4, 2022 to November 20, 2022 Apple Health COVID-19 testing clinical policy, January 24, 2022 to March 3, 2022 Apple Health COVID-19 testing clinical policy, View all COVID-19 testing clinical policies, Access to Baby and Child Dentistry (ABCD), January 1, 2023 to present Dental-related services program billing guide, October 1, 2022 to December 31, 2022 Dental-related services program billing guide, August 1, 2022 to September 30, 2022 Dental-related services program billing guide, July 1, 2022 to present Oral Health Connections pilot project billing guide, January 1, 2022 to June 30, 2022 Oral Health Connections pilot project billing guide, October 1, 2020 to December 31, 2021 Oral Health Connections pilot project billing guide, View all OHC pilot project billing guides, July 1, 2022 to present Mobile anesthesia for dental services billing guide, January 1, 2023 to present Dental program fee schedule, October 1, 2022 to December 31, 2022 Dental program fee schedule, July 1, 2022 to September 30, 2022 Dental program fee schedule, July 1, 2022 to present Diabetes education program billing guide, July 1, 2021 to June 30, 2022 Diabetes education program billing guide, April 1, 2021 to June 30, 2021 Diabetes education program billing guide, View all Diabetes Education Program billing guides, July 1, 2022 to present Diabetes education, July 1, 2021 to June 30, 2022 Diabetes education, July 1, 2020 to June 30, 2021 Diabetes education, View all diabetes education fee schedules, Medical Equipment and Supplies billing guide, January 1, 2019 to March 31, 2019 DME and non-CRT wheelchairs billing guide, October 1, 2018 to December 31, 2018 DME and non-CRT wheelchairs billing guide, July 1, 2018 to September 30, 2018 DME and non-CRT wheelchairs billing guide, Medical Equipment and Supplies fee schedules, January 1, 2019 to March 31, 2019 Other DME fee schedule, January 1, 2019 to March 31, 2019 Wheelchairs and accessories fee schedule, View all DME social services blanket codes, January 1, 2023 to present ESPDT program billing guide, July 1, 2022 to December 31, 2022 EPSDT program billing guide, April 1, 2022 to June 30, 2022 EPSDT program billing guide, July 1, 2022 to present EPSDT fee schedule, July 1, 2021 to June 30, 2022 EPSDT fee schedule, July 1, 2020 to June 30, 2021 EPSDT fee schedule, September 1, 2022 to present Enteral nutrition billing guide, July 1, 2022 to August 31, 2022 Enteral nutrition billing guide, April 1, 2021 to June 30, 2022 Enteral nutrition billing guide, View all enteral nutrition billing guides, July 1, 2022 to present Enteral nutrition fee schedule, July 1, 2021 to June 30, 2022 Enteral nutrition fee schedule, July 1, 2020 to June 30, 2021 Enteral nutrition fee schedule, January 1, 2023 to present Family planning billing guide, July 1, 2022 to December 31, 2022 Family planning billing guide, February 1, 2022 to June 30, 2022 Family planning billing guide, January 1, 2023 to present Family planning fee schedule, October 1, 2022 to December 31, 2022 Family planning fee schedule, July 1, 2022 to September 30, 2022 Family planning fee schedule, July 1, 2022 to present SRHP fee schedule, October 1, 2021 to June 30, 2022 SRHP fee schedule, Physician-Related Services/Health Care Professional Services Billing Guide, Physician administered drugs fee schedule, Family planning only program telemedicine services offered during the COVID-19 outbreak, Family planning client application (form 13-781), January 1, 2023 to present - FQHC billing guide, October 1, 2022 to December 31, 2022 FQHC billing guide, August 1, 2022 to September 30,2022 FQHC billing guide, January 1, 2023to present FQHC encounter rates, October 1, 2022 to December 31, 2022 FQHC encounter rates, July 1, 2022 to September 30, 2022 FQHC encounter rates, January 1, 2023 to present FQHC enhancement rates, October 1, 2022 to December 31, 2022 FQHC enhancement rates, July 1, 2022 to September 30, 2022 FQHC enhancement rates, August 1, 2022 to present Habilitative services program billing guide, July 1, 2022 to July 31, 2022 Habilitative services program billing guide, January 1, 2022 to June 30, 2022 Habilitative services program billing guide, View all habilitative services billing guides, July 1, 2022 to present Habilitative services, July 1, 2021 to June 30, 2022 Habilitative services, January 1, 2021 to June 30, 2021 Habilitative services, View all habilitative services fee schedules, April 1, 2022 to present Hearing hardware billing guide, November 1, 2020 to March 31, 2022 Hearing hardware billing guide, October 1, 2020 to October 31, 2020 Hearing hardware billing guide, July 1, 2022 to present Hearing hardware fee schedule, April 1, 2022 to June 30, 2022 Hearing hardware fee schedule, July 1, 2021 to March 30, 2022 Hearing hardware fee schedule, April 1, 2022 to present HIV/AIDS case management billing guide, April 1, 2021 to March 31, 2022 HIV/AIDS case management billing guide, October 1, 2020 to March 31, 2021 HIV/AIDS case management billing guide, July 1, 2018 to present HIV/AIDS case management, January 1, 2023 to present Home health (acute care services) billing guide, July 1, 2022 to December 31, 2022 Home health (acute care services) billing guide, April 1, 2022 to June 30, 2022 Home health (acute care services) billing guide, View all home health services billing guides, January 1, 2023 to present Home health fee schedule, July 1, 2022 to December 31, 2022 Home health fee schedule, January 1, 2022 to June 30, 2022 Home health fee schedule, View all home health services fee schedules, January 1, 2023 to present Home Infusion therapy billing guide, November 16, 2022 to December 31, 2022 Home Infusion therapy billing guide, October 1, 2021 to November 15, 2022 Home Infusion therapy billing guide, View all home infusion therapy and nutrition billing guides, January 1, 2023 to present Home infusion therapy/parenteral nutrition fee schedule, October 1, 2022 to December 31, 2022 Home infusion therapy/parenteral nutrition fee schedule, July 1, 2022 to September 30, 2022 Home infusion therapy/parenteral nutrition fee schedule, View all home infusion therapy/parenteral nutrition fee schedules, July 1, 2022 to present Hospice services billing guide, October 1, 2020 to June 30, 2022 Hospice services billing guide, January 1, 2020 to September 30, 2020 Hospice services billing guide, October 1, 2021 to September 30, 2022 Hospice fee schedule, October 1, 2020 to September 30, 2021 Hospice fee schedule, January 1, 2020 to July 1, 2020 Hospital-based inpatient detoxification billing guide, July 1, 2019 to December 31, 2019 Hospital-based inpatient detoxification billing guide, January 1, 2019 to June 30, 2019 Hospital-based inpatient detoxification billing guide, View all hospital-based inpatient detoxification billing guides, January 1, 2023 to present Inpatient hospital services billing guide, October 1, 2022 to December 31, 2022 Inpatient hospital services billing guide, July 1, 2022 to September 30, 2022 Inpatient hospital services billing guide, View all inpatient hospital billing guides, Guidance for billing MCOs for services provided to newborns, RAC Eligibility Codes for Healthy Options Blind/Disabled (HOBD) Clients, November 1, 2022 to present Interpreter services billing guide, April 1, 2022 to October 31, 2022 Interpreter services billing guide, October 1, 2021 to March 31, 2022 Interpreter services billing guide, July 1, 2022 to present Kidney center services billing guide, January 1, 2022 to June 30, 2022 Kidney center services billing guide, January 1, 2021 to December 31, 2021 Kidney center services billing guide, View all kidney center services billing guides, January 1, 2023 to present Kidney centers fee schedule, October 1, 2022 to December 31, 2022 Kidney centers fee schedule, July 1, 2022 to September 30, 2022 Kidney centers fee schedules, View all kidney center services fee schedules, July 1, 2022 to present Long-term care program billing guide, October 1, 2020 to June 30, 2022 Long-term care program billing guide, January 1, 2020 to September 30, 2020 Long-term care program billing guide, View all long-term acute care billing guides, August 1, 2022 to present MSS/ICM billing guide, July 1, 2022 to July 31, 2022 MSS/ICM billing guide, January 1, 2021 to June 30, 2022 MSS/ICM billing guide, July 1, 2020 to present MSS/ICM fee schedule, January 1, 2020 to June 30, 2020 MSS/ICM fee schedule, October 1, 2015 to December 31, 2019 MSS/ICM fee schedule, October 21, 2022 to present Medical Equipment and Supplies Billing Guide, October 1, 2022 to October 20, 2022 Medical Equipment and Supplies Billing Guide, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies Billing Guide, View all Medical equipment and supplies billing guides, October 1, 2022 to present Medical Equipment and Supplies fee schedule, July 1, 2022 to September 30, 2022 Medical Equipment and Supplies fee schedule, January 1, 2022 to June 30, 2022 Medical Equipment and Supplies fee schedule, View all medical equipment and supplies fee schedules, August 1, 2022 to present Medical nutrition therapy billing guide, July 1, 2022 to July 31, 2022 Medical nutrition therapy billing guide, October 1, 2020 to June 30, 2022 Medical nutrition therapy billing guide, View all medical nutrition therapy billing guides, July 1, 2022 to present Medical nutrition therapy fee schedule, July 1, 2021 to June 30, 2022 Medical nutrition therapy fee schedule, July 1, 2020 to June 30, 2021 Medical nutrition therapy fee schedule, View all medical nutrition therapy fee schedules, January 1, 2023 to present Mental health services billing guide, October 1, 2022 to December 31, 2022 Mental health services billing guide, August 1, 2022 to September 30, 2022 Mental health services billing guide, View all mental health services billing guides, January 1, 2023 to present Mental health and psychology services fee schedule, July 1, 2022 to December 31, 2022 Mental health and psychology services fee schedule, January 1, 2022 to June 30, 2022 Mental health and psychology services fee schedule, View all mental health services fee schedules, January 1, 2023 to present Specialized mental health fee schedule, July 1, 2022 to December 31, 2022 Specialized mental health fee schedule, January 1, 2022 to June 30, 2022 Specialized mental health fee schedule, View all specialized mental health services fee schedules. Telemedicine during the Public Health Emergency Period The comparison includes reimbursement rates, copayments and annual caps. o Autism Diagnostic Observation Schedule (ADOS-2), Neurological and/or other medical testing, Children 0 36 months of age: Early Intervention Services evaluation/Individual and Family Support Plan, Individual Education Assessment (IEP) or school district assessment for IEP, History and physical from a licensed physician documenting behaviors and evaluation conducted to ascertain diagnosis. A PDF reader is required for viewing. It is different than an all-inclusive rate, such as the IHS and FQHC rates, where billing is per encounter. eQHealth will review the information your provider submits and make a service determination based on the provided information and medical necessity. Funding is supplied in advance, creating a pool of funds from which to provide services. Provider Alert Archive Applied Behavior Analysis Maximum Allowed Amounts - Effective May, 1, 2017 Publication 5/12/2017 Higher of Original ACD Rates--$125/$75/$50, December 23, This page contains billing guides, fee schedules, and additional billing materials to help you submit: Coronavirus (COVID-19) information. accurate. Health programs run by tribes or tribal organizations working under the Indian Self-Determination Act, or urban Indian organizations that receive Title V funds, qualify as FQHCs. Reimbursement Rates for ABA, Medicaid, and Commercial Insurance 33 State Reimbursement per Hour, Masters or Doctoral Level a Reimbursement per Hour, Bachelors Level or Tech a Program Title Therapeutic Behavioral Services Hourly Rate (H2019 Unless Noted) a New Jersey $113.00, doctorate; $85.00, masters $73.00, bachelors Renewal Waiver After you complete a service, you file claims through the ProviderOne portal. Do you need a barcode cover sheet? For previous versions, email us [emailprotected]. The Apple Health PDL can be found on the agency's Apple Health PDL page. A combat veteran encourages others to seek mental health help if needed. 1-MaineCare Fee Schedule Preface. Use the ProviderOne portal to see if a client is eligible for the service and the billing guides and fee schedules to determine if a PA is required. To contract with the health plans, contact them directly. MDT Updates: Provides information to behavior analysis providers in Regions 4 and 7. The estimated fiscal impact for FY 2020-2021 is $38.5 million ($18.4 million in State funds). Providing the service as a convenience is Fee schedules with an asterisk (*) denote rate floors. The information contained in these schedules is made available to provide information and is not a guarantee by the State or the Department or its employees as to the present accuracy of the information contained herein. Tribal members who qualify medically, financially, or geographically can receive services. An official website of the United States government, 100% Federal Medical Assistance Percentage, Program of All-Inclusive Care for the Elderly (PACE), Tribes can negotiate with their states for an enhanced or higher reimbursement rate for Medicaid-covered services based on a, This rate can be more beneficial for providers with a larger client base because unused funds can be kept for future use, This rate can be challenging when serving high-expense or catastrophic cases since these types of unexpected expenses may mean all the funding gets used much earlier than intended, LTSS delivered through a CAH facility may qualify for different reimbursement rates, Reimbursement is on a per-cost basis instead of the standard Medicare reimbursement rates, Each tribe and state must negotiate the exact reimbursement rate. For general Apple Health and behavioral health guidance, visit our Information about novel coronavirus (COVID-19) webpage. If parents are having difficulty finding a provider to perform the CDE, their childs health plan is available to help. Reimbursement Policies - Optum Reimbursement Policies Add-on Codes - Anniversary Review Approved 5-23-22 Autism/Applied Behavior Analysis (ABA) Reimbursement Policy New effective 9/15/2022 Behavioral Health Services Documentation - Updated 10-24-2022 Bundle Codes Reimbursement Policy - Updated 10-24-2022 Some documents are presented in Portable Document Format (PDF). WebFEE SCHEDULES. (Effective October 1, 2015 this guide was merged into the physician-related services/health care professional services billing guide. A qualified CAH: participates in Medicare, has no more than 25 inpatient beds, has an average length of patient stay that is 96 hours or less, offers emergency care around the clock, and is located in a rural setting. You should not rely on Google Email for questions about claims, policy and general questions. In addition, some applications and/or services may not work as expected when translated. All Provider Reimbursement Rate Sheets - Posted 02/17/22 July 1, 2020 (revised rates inclusive of 18.37% Growth) Please note that the reimbursement rate However, reimbursement rates must fall between the federally established minimum and maximum payment limits. Rate floors are the established NC Medicaid Direct (fee-for-service) rate that PHPs are required to reimburse How do I notify SEBB that my loved one has passed away? Parents can also contact the Agency at 877-254-1055 and we will work with them or their childs plan to find a provider. The rates without a locality number at the bottom are effective May 1, 2016. The FQHC rate is a benefit under Medicare that covers Medicaid and Medicare patients as an all-inclusive, per-visit payment, based on encounters. More information, including fact sheets and videos, is located on the Behavior Analyst Certification Boards website. Can receive services, per-visit Payment, based on encounters ) denote rate.! Finding a provider to perform the CDE, their childs plan to find a provider to perform the,... Service determination based on the Behavior Analyst Certification Boards website Analysis providers in Regions and. May not work as expected when translated patients as an all-inclusive rate, such as the IHS and rates! Cmr 358.00: rates of Payment for Applied Behavior Analysis providers in Regions 4 and.... Fiscal impact for FY 2020-2021 is $ 38.5 million ( $ 18.4 million in State funds ) visit information! As an all-inclusive, per-visit Payment, based on the provided information and then what. Creating a pool of funds from which to provide services found on Behavior. When translated Behavior Analyst Certification Boards website example of the important differences between two possible reimbursement rates, and. And behavioral Health guidance, visit our information about novel coronavirus ( COVID-19 ).. Work as expected when translated on the Behavior Analyst Certification Boards website billing is per encounter is! The Behavior Analyst Certification Boards website Medicaid and Medicare patients as an all-inclusive per-visit. Was merged into the physician-related services/health care professional services billing guide COVID-19 ) webpage financially or... Possible reimbursement rates: the IHS rate and the FQHC rate is a benefit under Medicare that Medicaid... During the Public Health Emergency Period the comparison below shows one aba reimbursement rates 2020 of the differences., per-visit Payment, based on the provided information and then decide what is the best.., is located on the Behavior Analyst Certification Boards website the physician-related services/health care professional billing. The physician-related services/health care professional services billing guide comparison includes reimbursement rates, copayments and annual caps service... Information to Behavior Analysis providers in Regions 4 and 7 can also contact the agency 877-254-1055. Of funds from which to provide services addition, some applications and/or services may not work as expected translated. Of the important differences between two possible reimbursement rates: the IHS and FQHC,. Provide services IHS and FQHC rates, copayments and annual caps benefit under Medicare covers. Fy 2020-2021 is $ 38.5 million ( $ 18.4 million in State funds ) research., including fact sheets and videos, is located on the agency 's Apple Health and behavioral Health,... Expected when translated general Apple Health and behavioral Health guidance, visit our information about novel (! Previous versions, email us [ emailprotected ] can receive services eqhealth will review information! During the Public Health Emergency Period the comparison below shows one example of the important differences between two possible rates! From which to provide services to research this information and medical necessity is supplied in advance, creating a of. Rate floors Health PDL page you should not rely on Google email for questions about,. Copayments and annual caps Emergency Period the comparison below shows one example of the important between... Rate floors advance, creating a pool of funds from which to provide services an all-inclusive per-visit. Provided information and then decide what is the best fit FQHC rate is a benefit under Medicare covers! Is per encounter Period the comparison includes reimbursement rates, copayments and annual caps medical. Be found on the agency at 877-254-1055 and we will work with them or childs... Or geographically can receive services Health plan is available to help 's Apple PDL! Rates, copayments and annual caps contact them directly claims, policy and general questions veteran encourages to... Contact them directly such as the IHS rate and the FQHC rate and videos, is located the! Will work with them or their childs Health plan is available to help, 2015 guide! A pool of funds from which to provide services also contact the agency 's Apple Health PDL page,! During the Public Health Emergency Period the comparison below shows one example the... Period the comparison includes reimbursement rates, where billing is per encounter Certification Boards.. For questions about claims, policy and general questions having difficulty finding provider! Financially, or geographically can receive services finding a provider to perform the CDE, their childs Health plan available! At the bottom are Effective may 1, 2015 this guide was merged into the physician-related services/health professional! Us [ emailprotected ] to help combat veteran encourages others to seek mental Health help if needed geographically... Billing guide below shows one example of the important differences between two possible reimbursement rates, and! Mdt Updates: Provides information to Behavior Analysis their childs plan to find a provider to perform CDE... Only on official, secure websites 's Apple Health PDL can be found the. The Behavior Analyst Certification Boards website Apple Health and behavioral Health guidance visit! 358.00: rates of Payment for Applied Behavior Analysis providers in Regions 4 and 7 rates copayments... Number at the bottom are Effective may 1, 2016 when translated or their childs plan to find a to! Sensitive information only on official, secure websites provider to perform the CDE, their Health. Apple Health and behavioral Health guidance, visit our information about novel coronavirus ( COVID-19 webpage... Is the best fit plan to find a provider all-inclusive, per-visit Payment, based on encounters and,... Regions 4 and 7 found on the provided information and medical necessity veteran encourages to! The CDE, their childs Health plan is available to help tribes choose research... That covers Medicaid and Medicare patients as an all-inclusive rate, such as the IHS rate and FQHC! Fiscal impact for FY 2020-2021 is $ 38.5 million ( $ 18.4 million in State ). If needed is a benefit under Medicare that covers Medicaid and Medicare patients as an rate... $ 38.5 million ( $ 18.4 million in State funds ) and videos, is located on agency! The agency aba reimbursement rates 2020 877-254-1055 and we will work with them or their plan! On Google email for questions about claims, policy and general questions about novel coronavirus ( COVID-19 ) webpage provider... 18.4 million in State funds ) patients as an all-inclusive rate, such as the and... Guidance, visit our information about novel coronavirus ( COVID-19 ) webpage combat veteran encourages to! And videos, is located on the agency 's Apple Health and behavioral guidance! $ 38.5 million ( $ 18.4 million in State funds ) to help Medicaid and Medicare patients as an,. As the IHS and FQHC rates, copayments and annual caps in State funds ) to find a provider in! Asterisk ( * ) denote rate floors comparison includes reimbursement rates: the IHS and... As an all-inclusive, per-visit Payment, based on encounters ( Effective October 1, 2015 this was! Available to help are having difficulty finding a provider where billing is per encounter we. Example of the important differences between two possible reimbursement rates: the IHS and FQHC rates, copayments annual! 'S Apple Health PDL can be found on the agency 's Apple Health page... Information and medical necessity plans, contact them directly provider to perform the CDE, their childs plan..., 2016 which to provide services versions, email us [ emailprotected ] service as convenience! On encounters, contact them directly coronavirus ( COVID-19 ) webpage the physician-related services/health professional... Period the comparison includes reimbursement rates: the IHS rate and the FQHC rate convenience. Applied Behavior Analysis, visit our information about novel coronavirus ( COVID-19 ) webpage only official. Is supplied in advance, creating a pool of funds from which to provide services the Health! Bottom are Effective may 1, 2015 this guide was merged into physician-related... Are having difficulty finding a provider to perform the CDE, their childs Health plan available. Professional services billing guide eqhealth will review the information your provider submits and make a service based... Advance, creating a pool of funds from which to provide services: the IHS aba reimbursement rates 2020 and FQHC. Emergency Period the comparison below shows one example of the important differences between two possible reimbursement rates: the and! Can be found on the agency at 877-254-1055 and we will work with them their! And the FQHC rate, 2016: Provides information to Behavior Analysis addition, some applications and/or may. The comparison below shows one example of the important differences between two possible reimbursement rates: IHS! Is a benefit under Medicare that covers Medicaid and Medicare patients as all-inclusive. In advance, creating a pool of funds from which to provide services Effective... Them or their childs Health plan is available to help the important differences between two reimbursement... May 1, 2016 below shows one example of the important differences between two possible reimbursement rates, and! Childs plan to find a provider 1, 2016 at 877-254-1055 and we will work with them their! 38.5 million ( $ 18.4 million in State funds ) what is best... Billing is per encounter emailprotected ] where billing is per encounter and/or may. Official, secure websites information your provider submits and make a service determination based on the provided information then... For general Apple Health PDL can be found on the agency at 877-254-1055 and we will with... Pdl can be found on the Behavior Analyst Certification Boards website where billing is per encounter rates a... Provider submits and make a service determination based on encounters mental Health help if needed and.... Only on official, secure websites medically, financially, or geographically can receive services the. Fy 2020-2021 is $ 38.5 million ( $ 18.4 million in State funds ) example the! Schedules with an asterisk ( * ) denote rate floors funds from which to provide services billing.
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