Medicaid Behavioral Health Clinic Rehabilitation Services-Books Pdf

Medicaid Behavioral Health Clinic Rehabilitation Services
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Clinic Rehab Collaboration, Over the past year BMS BHHF behavioral health providers from. across the state and contractors for DHHR held collaborative. workgroups in an effort to revise and update the Behavioral. Health Clinic and Behavioral Health Rehabilitation Services. Chapters 502 and 503, This collaboration was vital in the development of the manuals. Meetings were held weekly to biweekly on average and are. credited for the successful revisions A statewide training and. multiple webinars will be conducted over the next few weeks. along with agency specific trainings over the next year as needed. to assist providers to learn and implement the new policy This. presentation will be placed on both the BMS and APS Healthcare. Clinic Rehab Manuals, Any provider of Medicaid and or BHHF services will be expected. to have working knowledge of Chapters 502 and 503 as well as. other chapters relevant to the services provided please see. Chapters 100 through 900, www dhhr wv gov bms pages providermanuals aspx. For further clarifications you may access the BMS and APS. Healthcare websites where FAQs will be posted following these. trainings APS Healthcare trainer consultants are also available for. assistance, www dhhr wv gov bms hcbs pages default aspx.
www apshealthcare com publicprograms west virginia West Vir. ginia1 htm, Provider Manual Summary Part 4, 503 16 SERVICE PLANNING REQUIREMENTS. 503 16 1 MENTAL HEALTH SERVICE PLAN DEVELOPMENT, 503 16 2 MENTAL HEALTH SERVICE PLAN DEVELOPMENT BY. PSYCHOLOGIST, 503 16 3 PHYSICIAN COORDINATED CARE OVERSIGHT SERVICES. 503 22 ASSERTIVE COMMUNITY TREATMENT, 503 21 2 COMMUNITY PSYCHIATRIC SUPPORTIVE TREATMENT. Service Planning Definition, Only available for Coordinated Care.
Conducted when multiple programs and services need to be. coordinated by a treatment representative of the differing provider. Developed by the primary clinician, One comprehensive plan Contains all services within one plan with. Development of the initial plan without the entire interdisciplinary. team is not a billable service, o Case Manager cannot bill TCM during team meeting. Plans including updates must be reviewed signed and approved by. Physician Psychologist within 72 hours of meeting and prior to. implementing services unless Physician Psychologist is required to be. physically present, Service Planning Requirements, Physician Physician Extender Psychologist or Supervised. Psychologist must be physically present when one of the. following present, Member receives psychotropic medication from a physician. within the agency, Member has diagnosis of Major Affective or Major Psychotic.
Member has I D Diagnosis, Member has an Autism Diagnosis. Member has major medical problems in addition to Major. Psychotic Disorder and medications, Member requests their presence. Initial Plan Requirements, Describes services and or supports the member is to receive until. the Master Plan is developed Must contain, Description of any further assessments or referrals that may. need to be performed and, Listing of immediate interventions to be provided along with.
objectives for the interventions and, Date for the development of the Master Plan and. Date of Master Plan must be appropriate for the plan length. of the service but at no time will exceed 30 days from initial. If program is an intensive service Master Plan must be. completed within 7 days, Signature of the member and or designated representative. intake worker physician psychologist and other persons. participating in the development of the plan, Master Plan Requirements. Developed within 30 days of admission unless intensive program then. must be completed within 7 days written for duration of service program. and must include, Date of development of the plan and. Participants in the development of the plan and, Goal s of services and.
Specific measurable realistic objectives that the service providers and. member hope to achieve or complete and, Measures used to track progress toward objectives and. Technique s and or services intervention used for objectives and. Individuals responsible for implementing services, Discharge criteria. Date for review, Timed in consideration of expected duration of the program service. Cannot exceed 90 days, Signatures with credentials and start stop times of those staff in. attendance, Mental Health Service Plan Development.
Service Unit 15 minutes, Telehealth Available, Service Limits 16 units per 90 day period. If Member is in focused Care H0032 cannot be billed. Mental Health Service Plan Development Definition, Reimburses for team member participation to develop. the member s Service Plan, Written service plan is product that substantiates that. the process took place, Team is responsible for the development of the plan. Individual program plans for Day Treatment CFT, therapy plans etc are not billed as a separate activity.
but are considered part of the services that the plan is. being developed for, Service Plan Documentation Requirements. Service plan signature page, All participating members including member and. guardian representative, Staff from another agency must meet listed documentation. requirements, Staff from other agencies participation is not reimbursable. Service Plan Development by Psychologist, Service Unit 15 minutes.
Telehealth Available, Service Limits One unit per month. Performed by Psychologist or Supervised Psychologist. directly related to service planning either in actual team. meeting or review and approval of a service plan within. 72 hours of the date of the meeting, Service Plan Documentation Requirements. Signature on plan or plan update date and time spent. including start stop times, Supervised Psychologist may perform this service with. oversight of their Supervising Licensed Psychologist. Supervising Licensed Psychologist must indicate their oversight. by their signature and date, Physician Coordinated Care Oversight. Service Unit 15 minutes, Telehealth Available, Service Limits 2 units per 90 days.
Staff Credentials Physician or Physician Extender s signature. with credentials time spent including start stop time and date. Physician Oversight Definition, Activities performed by a Physician or Physician. Extender directly related to service planning either. participation in the team meeting or review and, approval of a plan within 72 hours of the date of the. Medicaid Behavioral Health Clinic Rehabilitation Services Manual WV DHHR Bureau for Medical Services June 16 2014 Charleston WV Clinic Rehab Collaboration Over the past year BMS BHHF behavioral health providers from across the state and contractors for DHHR held collaborative workgroups in an effort to revise and update the Behavioral Health Clinic and Behavioral Health Rehabilitation

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