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J7U9ryvecpYc;9r yGs9Sp=]t~[Tzh^'FY) w,jP4U67eg+"|:{d6CXLNe"|oqk( JXH>GG#8#:VN^ Find out more about how this website uses cookies to enhance your browsing experience. . 4 days ago. The combination of services rules provide an outline of the types of services that may be provided to an individual within the same day, week or course of treatment. endstream endobj 2211 0 obj <. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Login This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. For a full explanation of the procedure codes and modifiers listed here, refer to your Arkansas Medicaid provider manual. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. Below arethe links to the Medicaid Fee Schedules. A fee schedule is a complete listing of service codes and fees used to pay services within the PBHS system. Optum offers two fee schedule modules to meet your organization's needs. 101 CMR 327.00: Rates of Payment for Ambulance and Wheelchair Van Services. Midlothian, VA. POSTED. The ABA provider will then complete their own evaluation of the client and develop an ABA treatment plan. No. Rates are also available on the Provider Web Portal at www.medicaid.nv.gov through the Search Fee Access to services is vital, but we go further. Optum is an equal opportunity employer. The new rates can be viewed on the bottom of the, All Patient Refined Diagnosis Related Groups (APR-DRGs), Certified Community Behavioral Health Clinics Infrastructure Grant Program, Childrens Behavioral Health System of Care, Childrens Services Provider Relief Program, Early Intervention Provider Relief Program, Home and Community-Based Services (HCBS) Access Program, Medicaid and the End of the COVID-19 Public Health Emergency, Nursing Home Isolation Unit Supplemental Funding, FPL Guidelines And Eligibility Information, Provider Electronic Solutions (PES) Software, 2023 Medicaid Managed Care Procurement Library, Addendum D Managed Care Organization Request for Qualification Financial Bidders Packet, Non-Emergency Medical Transportation (NEMT) Manual, Adding A New Provider To An Existing Group, Medicaid Managed Care Organization Enrollment, Interactive Outpatient Pricing Fee Schedule, Outpatient Hospitals, Outpatient Psych, and Dialysis, Ambulatory Surgical Centers and Professional Providers, Accessibility, data, and privacy policies. The ABA provider selected by the client, caregiver, or family will need a copy of the COE evaluation and order. Interactive Outpatient Pricing Fee Schedule (NOTAPC Pricing)*. 2023 Optum, Inc. All rights reserved. Clients often receive a contractual discount of 35-45 percent. The following fee schedules are available for providers. Fee Schedules Pediatric Physician Rate Increase RI Medicaid has implemented a rate increase to allow physicians billing for recipients under the age of 21 years to receive rates equivalent to Medicare. A participant cannot be billed for the difference . Not all plans include out-of-network benefits. The reimbursement rate applied to a claim depends on the claims date of service because Arkansas Medicaids reimbursement rates are date-of-service effective. Electronic Health Record Incentive Program, SoonerCare Out-of-State Services Rule Changes, Insure Oklahoma Dental Fee Schedule 01/01/21. The updated National Rates were then adjusted using the Medicare geographic locality factors, exactly as used to adjust all other TRICARE rates. The Here4TN team will find you a provider based on your specific preferences, concerns and availability. i-aK The fee schedules do not address the various coverage limitations routinely applied by Oklahoma Medicaid before final payment is determined (e.g., recipient and provider eligibility, billing instructions, frequency of services, third party liability, copayment, age restrictions, prior authorization, etc. . Fee schedule data will span the last three years. The maximum allowable rate is generally the applicable Medicare rate published by the Centers for Medicare and Medicaid Services (CMS). The following applied behavior analysis (ABA)reimbursement rates are for care received under the Autism Care Demonstration. The ABA Fee Schedule can be viewed on the Autism Providers Information page, here, State Fiscal Year 2023 (Effective October 1, 2022), State Fiscal Year 2023 (Effective July 1, 2022), State Fiscal Year 2022 (Effective January 1, 2022), State Fiscal Year 2022 (Effective July 1, 2021), State Fiscal Year 2022 (Effective November 1, 2021), State Fiscal Year 2021 (Effective January 1, 2021), State Fiscal Year 2021 (Effective July 1, 2020), State Fiscal Year 2020 (Effective July 1, 2019 - June 30, 2020). The following entities comprise the Optum Workers Compensation and Auto No-Fault division: PMSI, LLC, dba Optum Workers Compensation Services of Florida; Progressive Medical, LLC, dba Optum Workers Compensation Services of Ohio; Cypress Care, Inc. dba Optum Workers Compensation Services of Georgia; Healthcare Solutions, Inc., dba Optum Healthcare Solutions of Georgia; PMSI Settlement Solutions, LLC, dba Optum Settlement Solutions; Procura Management, Inc., dba Optum Managed Care Services; Equian, LLC, collectively and individually referred as Optum. Optum and its respective marks are trademarks of Optum, Inc. All other brands or product names are trademarks or registered marks of their respective owners. LOCATION. Visit the EAP webpage for more information. The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. 07-01-19).pdf, Health Homes Fee Schedule (Eff -07-01-19).pdf, Combination of SUD Services (Eff-07-1-17).pdf, PBHS Reimbursement Schedule A (Eff-07-01-18 Rev-03-14-19).pdf, PBHS Reimbursement Schedule B (Eff-07-01-18 Rev-03-14-19).pdf, 8-507/PWC Grant Program Fee Schedule(Eff. hVr8~}Lf7[38m#6vcGA ~8D!w=HQ4i1 "pA1s3KFB(a. Higher of Original ACD Rates--$125/$75/$50, December 23, 2016 Posted Rates, or Updated 2017 Locality Rates. 97151. *,j>u :\& This rate increase will be retro-actively effective for dates of service on or after July 1, 2022. The current 2022 fee schedules are available on the Agency's reimbursement schedule page, Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. TheState Fee Schedule PlusandMedicare Physician Fee Schedule: For more information emailOWCAcommunications@optum.com. As a part of OptumCare, the largest network of medical groups in the nation, MedExpr ess is seeking a Part Time Urgent Care Physician to join our team in Midlothian, Virginia. RI Medicaid has implemented a rate increase to allow physicians billing for recipients under the age of 21 years to receive rates equivalent to Medicare. 0362T $18 $31.25 California providers only - Do I need to resubmit my previously paid claims? All (9) Publications (8) Reports (1) ABA Maximum Allowed Rates Effective May 1, 2022 Publication 4/1/2022 Recommended Content: L{uMXDJ&20Xl6@Z!WnGg* G:2 If you are a current Medicaid provider, you may refer to the Pricing section on our. View Professional Fee Schedule Outpatient Fee Schedule The IHCP publishes the rates for outpatient hospitals and ambulatory surgical centers (ASCs) on the Outpatient Fee Schedule. Clinical Diagnostic Laboratory Test, Upper Payment Limit. * NOTE: This is NOTthe APC Fee Schedule/See Outpatient Hospital Fee Schedules for APC Fee Schedule. optum aba reimbursement rates. The rates are effective April 1, 2016, for the localities below numbered 301-389. This is to differentiate the Ambetter fee schedule from the traditional Medicare fee schedule and avoid confusion. 2021 CHP+ FFS Rate Schedule. 2233 0 obj <>stream Absolute accuracy, however, cannot be guaranteed. Explore the suite of behavioral health solutions available for employees and their dependents. Idaho Medicaid Public Schedule of Premiums and Cost-Sharing In accordance with federal regulations at 42 CFR 447.57, the Department of Health and Welfare is making available a public schedule describing current Medicaid premiums and cost . Text. Some documents are presented in Portable Document Format (PDF). Services reimbursed based on provider specific (contracted rates) or specialty based rates are not included under Title XIX. Text. The Program shall provide fee-for-service reimbursement for covered ABA services to the following ABA providers: An ABA group, and . Medicaid Reimbursement and Billing. Results and . Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 09/01/2025. At Optum, we are transforming healthcare nationally while providing Physician-led care locally. BG@OUv7m*Bp8c8?/838 Department of Veterans Affairs (VA) reimburses hospital care, medical services and extended care services up to the maximum allowable rate. The AMA replaced or revised the following codes effective January 1, 2019: Eight new Category I codes for adaptive behavior assessments (97151 and 97152) and adaptive behavior treatments (97153-97158) were added. 140 0 obj <> endobj P.O. The schedules listed below are the SoonerCare (Oklahoma Medicaid) maximum allowable fees which are in effect as of the date of the report. Base Rate: $74.83 (effective 8/1/2017-1/1/2020) $83.34 (effective 1/2/2020-Present) Cost-to-Charge Ratio: 18% (effective 8/1/2017-1/1/2020) 20% (effective 1/2/2020-Present) EAPG Adjuster: EAPGs 134 and 149 are paid at 110% of the EAPG calculated amount (base rate x relative weight)- (effective 8/1/2017-1/1/2020) 0 Below you will find downloadable state-by-state guides to the fee schedules. 101 CMR 330.00: Rates for Team Evaluation Services. The comparison includes reimbursement rates, copayments and annual caps. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. ABA intensive day treatment and ongoing one-on-one ABA therapy require prior authorization before the client receives services. PPO/Out of Network Plans Optum Customer Service: CCN Region 1: 888-901-7407 CCN Region 2: 844-839-6108 CCN Region 3: 888-901-6613. Finding care can be confusing. Mental Health Insurance Reimbursement Ranges None of these values represent what you will be paid or are a guarantee of payment nor do the represent the rates each insurance company may or may not reimburse. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. Discover the benefits of an HSA and how it works. These rates were calculated by updating the National Rates presented at the ABA Roundtable (Dec 3, 2015) based on a re-survey of the states' Medicaid rates in January and February 2016. new affordable housing in richmond bc; johns hopkins all children's hospital t shirt Men umschalten. The Defense Health Agency held a Black History Month event, themed Inspiring Change, on Feb. 15. Reimbursement in the Public Behavioral Health System (PBHS): A fee schedule is a complete listing of service codes and fees used to pay services within the PBHS system. These fee schedules reflect only procedure codes that are currently payable. ?GsY>,ud%/5T|.!G)GMY3Q Optum will collaborate with you to assess your entire therapy spending and provide personalized solutions to help you save money. This rate increase will be retro-actively effective for dates of service on or after July 1, 2022. 'y)5-^EFv7=hmZDj dpeW DglEV={ 8oKp\vmn*B! !/Q_F /4D|~(0UleqoLJS o6vv%I_SM& The rates without a locality number at the bottom are effective May 1, 2016. See how increasing provider satisfaction can improve access to behavioral health care. 97152. Any procedure code reflecting a Medicaid maximum of $0.00 is manually priced. Although every effort is made to ensure the accuracy of this information, discrepancies may occur. 101 CMR 331.00: Prescribed Drugs. Behavior ation assessment : Psychologist/ BCBA-D/BCBA : $28.60. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law. Fourteen associated Category III codes (0359T, 0360T, 0361T, 0363T-0372T and 0374T) have been deleted. Code Previous Rate Adjusted Rate 97156-HN $0 $12.50 ea./15 min. Magellan will adjust California claims with dates of service Although every attempt will be made to keep this information up-to-date . endstream endobj 144 0 obj <>stream 32 units : identific. These rules outline the interventions that may be implemented in combination and involve the use of two or more coordinated interventions by the same or differing providers. We connect people to an extensive network of providers, innovative tools that improve access to care and resources that inspire them to be more engaged in their own wellness. It lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT coding system. Fee Schedule Effective Date; Assistive Care Services Fee Schedule: Updated Fee Schedule July 2022 Promulgated Fee Schedule 2022 : Behavior Analysis Fee Schedule: Promulgated Fee Schedule 2022: Behavioral Health Overlay Services Fee Schedule ABA Maximum Allowed Amounts Effective May 1, 2020 (15 min) (15 min) T1023 (per measure reported) LOC State Location Name BCBA-D/BCBA/Assistant BCBA-Ds BCBAs BCaBAs BTs BCBA-Ds BCBAs BCaBAs BCBA-D/BCBA/Assistant BCBA-D/BCBA . 1-1-18).pdf, Maryland Recovery Network(MDRN) Fee Schedule 09-30-16.pdf. If you are a current Medicaid provider, you may refer to the Pricing section on our Provider Secure Site, or call our Customer Service provider line. 158 0 obj <>/Filter/FlateDecode/ID[<9D1D62B4F3091642A22D53E2FA0FA27C><6FC4B0584975E54D8A36487B6EE811E2>]/Index[140 34]/Info 139 0 R/Length 88/Prev 250029/Root 141 0 R/Size 174/Type/XRef/W[1 2 1]>>stream aba reimbursement rates 2020mr patel neurosurgeon cardiff 27 februari, 2023 . He also recommends evaluating fixed rates in health plan contracts. Applied Behavior Analysis (ABA) Billing Balance Billing Billing Multiple Lines Instead of Multiple Units Birthing Center Reimbursement Breast Pumps and Supplies Billing Critical Access Hospital Reimbursement Methodology Diagnosis-Related Group (DRG) Reimbursement External Resource Sharing Agreement (ERSA) Claims Home Health Billing 0 Users can print individual PDFby selecting the PDF and then indicating what page(s) to print. Executive Office of Health and Human Services, Office of the GovernorRI.govElected OfficialsState Agencies (A-Z), 2023 Workers' Compensation and Property and Casualty Pharmacy Benefit Management If you participate in the MO HealthNet program, you agree to accept MO HealthNet payment as reimbursement in full for any services provided to MO HealthNet participants. Referrals| We offer resources and support to help individuals achieve stabilization, build resiliency and sustain recovery. Fee schedule information will be updated to the web on a weekly basis. Optum Reimbursement Policies Add-on Codes - Update Approved 1-20-2023 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 Consultation Services Reimbursement Policy - Update Approved 1-20-2023 how to dress like jackie kennedy on a budget . Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Provider Manuals and Other Provider Notifications, Adult Behavioral Health Services for Community Independence, ARKids First-B Screenings / SCHIP Vaccines, Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Early Intervention Day Treatment Academic Medical Centers Services, Hospice (October 1, 2017 September 30, 2018), Hospice (October 1, 2018 September 30, 2019), Hospice (October 1, 2019 September 30, 2020), Hospice (October 1, 2020 September 30, 2021), Hospice (October 1, 2021 September 30, 2022), Hospice (October 1, 2022 September 30, 2023), Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services, Prosthetics (includes Durable Medical Equipment and Orthotics), Rehabilitative Services for Youth and Children. The reimbursement rates reflected in these fee schedules are in effect as of the run date for the report. escription Provider Rate Time Daily Max Limitations 97151 Behavior identification assessment Psychologist/ p o{ AUeFUin++i2m'l&!sY"z The rates have also been adjusted to ensure that they are no less than the Medicaid rates in those states which have adopted statewide Medicaid rates for these services. The response rate was 62.8 % . gs>FY.itt Washington Apple Health (Medicaid) Applied Behavioral Analysis (ABA) Program Billing Guide (For clients age 20 and younger) December 1, 2020 The current ASC code, rates, and assigned level can be found to the right under the "Current Fee Schedules". 173 0 obj <>stream Welcome to Optum Bank. zoP!|`wo`O|%@/JY -m^)OMZ?W-^jZj$760TUe=xO;Wv/vLJ#U:MgGj*YY^W_ wN ant and dec santander advert cast. {8V_OuvERYq_& zxup 08o! ), Although every effort is made to keep the schedule accurate and current, it is not the official document of record. PBHS PRP and Specialty Programs Rates (Eff-10-01-22), PBHS Individual Practitionerand OMHC Rates (Eff -07-01-22), PBHS PRP and Specialty Programs Rates (Eff-07-01-22), Health Homes Fee Schedule (Eff -07-01-22), PMHS Individual Practitionerand OMHC Rates (Eff -01-01-22), PMHS PRP and Specialty Programs Rates (Eff-01-01-22), Health Homes Fee Schedule (Eff -01-01-22), Evaluation and Management Rates - Individual and OMHC (Eff. HWn\7Rd3X`6i;+O&sNow;6jY,!o%R?K~Q+|}? %*;ct2y,O44Jc2 These rates are effective retroactively to Jan. 1, 2019. There are circumstances that may impact pricing such as: manual pricing, provider-specific certification/pricing, or multiple surgical procedure codes. Wisconsin BadgerCare Plus notifies providers of significant rate changes. Your employer sponsored plan may exclude . . Hauptmen. endstream endobj startxref Accessibility, data, and privacy policies | Top of page, Change the visual color theme between light or dark modes, Adjust the font size from the system default to a larger size, Adjust the space between lines of text from the system default to a larger size, Adjust the space between words from the system default to a larger size. You should contact CPT Intellectual Property Services, American Medical Association, 515 N. State Street, Chicago, Illinois 60610 or at telephone number 312-464-5022 or at facsimile number 312-464-5131, should you wish to make additional uses of CPT. Optum financial HSA is a tax advice that helps you pay for qualified medical expenses. Applied behavior analysis (ABA) is the process of applying interventions that are based on the principles of learning derived from experimental psychology research to systematically change behavior. at ion wth all other ABA except H0031 97151, 97152, 97153, 97155, $2.50/unit unit 97155 (replaces components of H0032, H2012 & H2019) BCBA/BCaBA PA Required Face to Face 1:1 Service ABA Treatment *32 units units/day (8 hours/day) - Adaptive Behavior Treatment ABA Treatment with protocol modification; resolves one or more union county section 8 plainfield, nj; dog friendly stores canada Abrir menu. hbbd``b`@`9@c%"ADH$D+#HLd@ PA&30RDgL` : house for rent mcleod road, niagara falls; reverse reverb audition; foreclosed homes in st martinville, la to using after-tax income for purchases and assumes a 30% combined tax rate from all applicable federal, state and FICA taxes. Box 1437, Slot S401Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. new rates effective, and what are they? Department of Medical Assistance Services (DMAS) Rate Setting Information Medicaid Reimbursement Graduate Medical Education (GME) Funding Opportunity Other Fee-For-Service (FFS) Outpatient Rehab Agencies Home and Community Based Services (HCBS) Inpatient Hospital Rates (ACUTE, Psych, Rehab) And GME, IME, DSH LUMP SUM Reimbursement Outpatient contact us Provider Services (405) 522-6205 (800) 522-0114 more contacts Last Modified on Mar 02, 2023 Rate updated "Y" 90785 Interactive Complexity Use in conjunction with codes for diagnostic psychiatric evaluation [90791, 90792], psychotherapy [90832, 90834, 90837], psychotherapy when performed with an E&M service [90833, 90836, 90838, 99201-99205, 99213-99215], and group psychotherapy [90853] Event: 10.90 9.26: 8.72 7.63: 5.45 Y Provider Services (405) 522-6205 (800) 522-0114more contacts . With groundbreaking data analytics and insights lighting the way, we offer a more intelligent approach to integrating care for greater impact. endstream endobj 141 0 obj <> endobj 142 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/Properties<>>>/Rotate 0/TrimBox[36.0 36.0 639.0 819.0]/Type/Page>> endobj 143 0 obj <>stream BCaBA/RBT : $14.30 . 15 minutes. endstream endobj startxref Optum360 worked closely with the New York Workers' Compensation Board in the development, formatting, and production of this fee schedule. A PDF reader is required for viewing. %%EOF Claims for all ABA services must be submitted to Optum Maryland for reimbursement. Please note that Arkansas Medicaid will reimburse the lesser of the amount billed or the Medicaid maximum. Text. Starting January 1, 2020, the Ambetter fee schedule name will change from Payor Medicare Fee Schedule to Payor Fee Schedule. Risk management and quality performance, Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Optum is breaking new ground in behavioral health by driving better overall health outcomes while bringing down the total cost of care. Learn more about our healthcare financial products, including health savings accounts, flexible spending accounts, stop loss services, and electronic payment/processing services. Please share these schedules with appropriate staff. 2210 0 obj <> endobj Read how peer support services improve clinical outcomes by fostering recovery and promoting empowerment. RI.gov. optum aba reimbursement rates. Individuals get the most out of their care when they are actively involved. 2227 0 obj <>/Filter/FlateDecode/ID[<309C716907E3964092BB2FD022C835E1><0599E2A7AAAF3E4493E8784401AE5078>]/Index[2210 24]/Info 2209 0 R/Length 85/Prev 127595/Root 2211 0 R/Size 2234/Type/XRef/W[1 2 1]>>stream hb```,b@(qim= b bF#6Fa, Mobile Delta Fishing Report, Java Code To Convert Xml To Pdf Using Itext, Does B12 Injections Go Bad, Product Batch Code Morrisons Where To Find . Optum 855.HERE4TN (855.437.3486) 24/7 Here4TN.com First Call Provider Search. Posted 10:48:11 AM. The State Fee Schedule Plus and Medicare Physician Fee Schedule: Deliver data in a uniform format Reduce administration time For more information email OWCAcommunications@optum.com Consulting Services for States Department of Medical Assistance Services, DMAS - Department of Medical Assistance Services, Breast & Cervical Cancer Prevention and Treatment Act, Addiction and Recovery Treatment Services, Hospital Presumptive Eligibility Information, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Behavioral Health Service Utilization and Expenditures, Legislative and Congressional District Reports, Monthly Expenditure Reports of the Medicaid Program, Nursing Facility Value-Based Purchasing Program, CHIP State Plan and Waiver-Related Documents, | | s -w-po-ny | | | Deutsch | | Tagalog | Franais | | Igbo asusu | | | Espaol | | Ting Vit | Yorb. from forth day's path and titan's fiery wheels meaning abandoned churches for sale in cleveland ohio Your Medicaid License impacts the "Practitioner Level" that you have which influences your reimbursement rates. Reimbursement Rates for ABA, Medicaid, and Commercial Insurance 31 was not specified, rates for one-to-one ABA therapy ranged from $14 to $101 per hour. Providers should update their billing systems to reflect the new rates in order to be reimbursed correctly. hb``` AXYlS#XyO.A]OrjifUS00$\`S eI"@vD\DJPFFW5'"]@eD.tBGq8p0 A0 44B; 4h'CfZpP00(u13=>cMx$g,p. Outpatient Behavioral Health and Substance Abuse Services Payment rates are established using state developed relative value weights for outpatient mental health and substance abuse services and a monetary conversion factor (CF), to determine the overall level of payment. DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101. The Professional Fee Schedule is updated every Tuesday after 4 p.m. with information current as of the previous Sunday. Optum offers two fee schedule modules to meet your organization's needs. Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Log In|First-time User|Global|Site Map, 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, Consultation ServicesReimbursement Policy -Update Approved 1-20-2023, Drug Testing Reimbursement Policy- Anniversary Review Approved 5-23-22, Duplication of Claims Reimbursement Policy-Retired 5-24-2021, Electroconvulsive Therapy Reimbursement Policy-Updated 10-24-2022, Facility-Based Behavioral Health Program Professional Fees Reimbursement Policy-Update Approved 1-20-2023, Facility-Based Behavioral Health Program Reimbursement Policy-Update Approved 1-20-2023, Health and Behavior Assessment and Intervention Reimbursement Policy Commercial & Medicare-Updated 4-1-2022, Inappropriate Primary Diagnosis Codes Reimbursement Policy-Anniversary Review Approved 1-19-23, Incident to Billing Reimbursement Policy-Retired 5-24-2021, License Level Reimbursement Policy-Updated 10-24-2022, Maximum Frequency Per Day-Anniversary Review Approved 5-23-22, Medicare Incident to Bill-Updated 4-1-2022, National Correct Coding Initiative Reimbursement Policy-Anniversary Review Approved 5-23-22, Non-Emergent Transport and Lodging-Anniversary Review Approved 5-23-22, Non-Reimbursable HCPCS Codes - Anniversary Review approved on 8/15/2022, Non-Covered HCPCS Codes- Anniversary Review approved on 8/15/2022, Opioid Treatment Program Reimbursement Policy-Anniversary Review Approved 1-19-2023, Outpatient Family Therapy Reimbursement Policy-Anniversary Review approved on 8/15/2022, Outpatient Service Clean Claim Form Submission- Updated 10-24-2022, Outpatient Services Outside A Program Reimbursement Policy-Anniversary Review approved on 8/15/2022, Procedure and Place of Service Reimbursement Policy-Update Approved 1-20-2023, Professional Technical Component Reimbursement Policy-Anniversary Review Approved 5-23-22, Prolonged Services Reimbursement Policy - Commercial and Medicare- Update Approved 1-19-2023, Psychological and Neuropsychological Testing Reimbursement Policy-Updated 10-24-2022, Same Day Same Service Reimbursement Policy Update Approved 1-20-2023, Specimen Validity Testing Reimbursement Policy (Retired), Spravato Reimbursement Policy-Update Approved 1-20-2023, Telemental Health Services Reimbursement Policy - Commercial-Anniversary Review Approved 1-19-23, Telemental Health Services Reimbursement Policy Medicaid-Updated 2-14-2023, Telemental Health Services Reimbursement Policy Medicare -Anniversary Review Approved 1-19-23, Note: Adobe Acrobat Reader is required to view and print PDFs, Autism/Applied Behavior Analysis (ABA) Reimbursement Policy, Consultation ServicesReimbursement Policy, Duplication of Claims Reimbursement Policy, Electroconvulsive Therapy Reimbursement Policy, Facility-Based Behavioral Health Program Professional Fees Reimbursement Policy, Facility-Based Behavioral Health Program Reimbursement Policy, Health and Behavior Assessment and Intervention Reimbursement Policy Commercial & Medicare, Inappropriate Primary Diagnosis Codes Reimbursement Policy, National Correct Coding Initiative Reimbursement Policy, Opioid Treatment Program Reimbursement Policy, Outpatient Family Therapy Reimbursement Policy, Outpatient Service Clean Claim Form Submission, Outpatient Services Outside A Program Reimbursement Policy, Procedure and Place of Service Reimbursement Policy, Professional Technical Component Reimbursement Policy, Prolonged Services Reimbursement Policy - Commercial and Medicare, Psychological and Neuropsychological Testing Reimbursement Policy, Same Day Same Service Reimbursement Policy, Telemental Health Services Reimbursement Policy - Commercial, Telemental Health Services Reimbursement Policy Medicaid, Telemental Health Services Reimbursement Policy Medicare.