knowledge/lexical/codes
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| node_id UInt32 | code Utf8 | text Utf8 | __row_id Int64 |
|---|---|---|---|
| 6385 Filter to this value Explore graph node | H2000 Filter to this value | H2000 accreditation required: qualifications of an MHP. disposition: payable-with-criteria effective date: April 28, 2022 effective date: February 4, 2025 effective date: July 1, 2022 effective date: June 6, 2022 effective date: September 19, 2018 medicaid-il code-disposition criteria: unless the documentation is completed with the consumer (direct interaction), as a component of the clinical intervention to enhance engagement. medicaid-il code-disposition criteria: unless the documentation is completed with the participant (direct interaction) as a component of the clinical intervention to enhance engagement. medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition effective date: April 28, 2022 medicaid-il code-disposition effective date: February 4, 2025 medicaid-il code-disposition effective date: July 1, 2022 medicaid-il code-disposition effective date: June 6, 2022 medicaid-il code-disposition effective date: September 19, 2018 medicaid-il code-disposition effective-date: October 27, 2021 medicaid-il code-disposition not-reimbursable: The act of documentation or report writing is not reimbursable. medicaid-il code-disposition not-reimbursable: The act of documentation, or “completion of the form," is not reimbursable, unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. medicaid-il code-disposition not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable medicaid-il code-disposition not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable, with the following exceptions medicaid-il code-disposition not-reimbursable: cannot be billed using the modifier "SF.” medicaid-il code-disposition payable-with-criteria: Documentation is reimbursable when completed with the customer (direct interaction) as a component of the clinical intervention to enhance engagement. medicaid-il code-disposition payable-with-criteria: Documentation is reimbursable when rating IM+CANS domain or modular items or when prioritizing IM+CANS needs and strengths for treatment planning utilizing the IM+CANS form as a component of the clinician's case formulation. medicaid-il code-disposition payable-with-criteria: For customers assessed but for whom it is determined that ongoing MRO-MH or TCM services are not medically necessary, the provider may submit their claim for IATP services pursuant to Section 207.3.4 of this handbook. medicaid-il code-disposition payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days medicaid-il code-disposition payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days, and cannot be billed using the modifier "SF.” medicaid-il code-disposition payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days, and should not be billed using the modifier "SF.” medicaid-il code-disposition payable-with-criteria: Medical Necessity for this service is established by the need to assess the customer for the delivery or continuation of community-based clinical services under the MRO-MH or TCM Option. For customers assessed but for whom it is determined that ongoing MRO-MH or TCM services are not medically necessary, the provider may submit their claim for IATP services pursuant to Section 207.3.4 of this handbook. medicaid-il code-disposition payable-with-criteria: The HFS approved IATP instruments must be submitted via the web-based IATP Provider Portal pursuant to the guidelines provided by the Department; submission is required to receive service reimbursement. medicaid-il code-disposition payable-with-criteria: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. medicaid-il code-disposition payable-with-criteria: The time spent by the authorizing LPHA clinically reviewing the IATP, including any necessary consultation with the staff who completed the IATP, is reimbursable effective with dates of service on or after July 1, 2022. medicaid-il code-disposition payable-with-criteria: Updates of a customer's IATP using the “SF” modifier may be reimbursed at any time during the 180-day IATP timeframe to any service provider delivering MRO-MH and TCM services to a customer. medicaid-il code-disposition payable-with-criteria: unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. medicaid-il furnishing-rule accreditation required: qualifications of an MHP. medicaid-il furnishing-rule supervision level: must be reviewed, approved, and signed by an LPHA medicaid-il furnishing-rule supervision level: under the supervision of, an LPHA medicaid-il furnishing-rule who may perform: staff who completed the IATP medicaid-il furnishing-rule who may perform: staff who minimally meet the qualifications of an MHP medicaid-il furnishing-rule who may perform: staff who minimally meet the qualifications of an MHP. not-reimbursable: The act of documentation or report writing is not reimbursable. not-reimbursable: The act of documentation, or “completion of the form," is not reimbursable, unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the customer (direct interaction) as a component of the clinical intervention to enhance engagement. not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the participant (direct interaction) as a component of the clinical intervention to enhance engagement. not-reimbursable: The act of documentation, or “completion of the form,” is not reimbursable, with the following exceptions not-reimbursable: cannot be billed using the modifier "SF.” payable-with-criteria: Documentation is reimbursable when completed with the customer (direct interaction) as a component of the clinical intervention to enhance engagement. payable-with-criteria: Documentation is reimbursable when rating IM+CANS domain or modular items or when prioritizing IM+CANS needs and strengths for treatment planning utilizing the IM+CANS form as a component of the clinician's case formulation. payable-with-criteria: For customers assessed but for whom it is determined that ongoing MRO-MH or TCM services are not medically necessary, the provider may submit their claim for IATP services pursuant to Section 207.3.4 of this handbook. payable-with-criteria: If the customer has an associated IATP that has a dated LPHA signature that is over 180 days old, then the provider must complete a re-assessment. payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days, and cannot be billed using the modifier "SF.” payable-with-criteria: Initial IATPs and a full re-assessment of a customer's IATP shall only be reimbursed to a single service provider once every 180 days, and should not be billed using the modifier "SF.” payable-with-criteria: Medical Necessity for this service is established by the need to assess the customer for the delivery or continuation of community-based clinical services under the MRO-MH or TCM Option. payable-with-criteria: Medical Necessity for this service is established by the need to assess the customer for the delivery or continuation of community-based clinical services under the MRO-MH or TCM Option. For customers assessed but for whom it is determined that ongoing MRO-MH or TCM services are not medically necessary, the provider may submit their claim for IATP services pursuant to Section 207.3.4 of this handbook. payable-with-criteria: Medical Necessity for this service is established by the need to assess the participant for the delivery or continuation of community-based clinical services under the MRO-MH or TCM Option. payable-with-criteria: The HFS approved IATP instruments must be submitted via the web-based IATP Provider Portal pursuant to the guidelines provided by the Department; submission is required to receive service reimbursement. payable-with-criteria: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the consumer (direct interaction), as a component of the clinical intervention to enhance engagement. payable-with-criteria: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the customer (direct interaction) as a component of the clinical intervention to enhance engagement. payable-with-criteria: The act of documentation, or “completion of the form,” is not reimbursable, unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. payable-with-criteria: The time spent by the authorizing LPHA clinically reviewing the IATP, including any necessary consultation with the staff who completed the IATP, is reimbursable effective with dates of service on or after July 1, 2022. payable-with-criteria: Updates of a customer's IATP using the “SF” modifier may be reimbursed at any time during the 180-day IATP timeframe to any service provider delivering MRO-MH and TCM services to a customer. payable-with-criteria: submission is required to receive service reimbursement. payable-with-criteria: unless the documentation is completed with the customer (direct interaction), as a component of the clinical intervention to enhance engagement. supervision level: must be reviewed, approved, and signed by an LPHA supervision level: under the supervision of, an LPHA who may perform: staff who completed the IATP who may perform: staff who minimally meet the qualifications of an MHP who may perform: staff who minimally meet the qualifications of an MHP. | 527 |