www.MercyCareAZ.org
December 6, 2018
Services allowed in Place of Service 03 - School

Applicable to: Mercy Care Complete Care, Mercy Care Long Term Care, Mercy Care RBHA and Division of Developmental Disabilities
                           

Effective 10/01/2018, in conjunction with AHCCCS, the following services can now be performed in Place of Service 03 - School:



  • H0001 - Alcohol and/or drug assessment
  • H0002 - Behavioral Health Screening to Determine Eligibility for Admission
  • H0004-HQ - Group Therapy
  • H0004-HR - Family Behavioral Health Counseling and Therapy –With Client Present
  • H0004-HS - Family Behavioral Health Counseling and Therapy –Without Client Present
  • H0004 - Individual Counseling
  • H0025 - Behavioral Health Prevention Education
  • H0031-HK - Mental Health Assessment-By Board Certified Behavior Analysts
  • H0031 - Mental Health Assessment –By Non-Physician
  • H0034 - Behavioral Health Prevention Education Service (Health Promotion)
  • H0038-HQ - Self-Help/Peer Services - Group
  • H0038 - Self-Help/Peer Services
  • H2011-HT - Crisis Intervention Service – multi-disciplinary team
  • H2011 - Crisis Intervention Service
  • H2014-HK - Skills Training and Development-By Board Certified Behavior Analysts
  • H2014-HQ - Skills Training and Development – Group
  • H2014 - Skills training and Development
  • H2019 - Therapeutic Behavioral Services: Up to 5 ¾ hours in duration
  • H2019-TF - Therapeutic Behavioral Services: Up to 5 ¾ hours in duration
  • S5110 - Family Support
  • T1013 - Interpretation
  • T1016 - Case management
  • 0359T - Behavior identification assessment
  • 0360T - Observational behavioral follow-up assessment
  • 0361T - Observational behavioral follow-up assessment
  • 0362T - Exposure behavioral follow-up assessment
  • 0363T - Exposure behavioral follow-up assessment
  • 0364T - Adaptive behavior treatment by protocol, first 30 minutes
  • 0365T - Adaptive behavior treatment by protocol, each additional 30 minutes
  • 0366T - Group adaptive behavior treatment by protocol, first 30 minutes
  • 0367T - Group adaptive behavior treatment by protocol, each additional 30 minutes
  • 0368T - Adaptive behavior treatment with protocol modification, first 30 minutes
  • 0369T - Adaptive behavior treatment with protocol modification, each additional 30 minutes
  • 0370T - Family adaptive behavior treatment guidance (without the patient present, 30 minutes.)
  • 0371T - Multiple-family group adaptive behavior treatment guidance (without the patient present, 30 minutes.)
  • 0372T - Adaptive behavior treatment social skills group, (billed per individual participant, 30 minutes)
  • 0373T - Exposure adaptive behavior treatment with protocol modification requiring two or more technicians, first 60 minutes
  • 0374T - Exposure adaptive behavior treatment with protocol modification requiring two or more technicians, each additional 30 minutes


As always, don't hesitate to contact your Mercy Care Provider Relations Representative with any questions or comments. You can find this notice and all other provider notices on our Mercy Care website .


Thanks for all you do!

                           
www.MercyCareAZ.org