knowledge/lexical/codes
Source: knowledge/lexical/codes.parquet. Source vintage: Package vintage 2026-10-01; source path partition not dated; inspect record and rule clocks separately. Grain: Packaged source record; inspect schema and linked world method before aggregation. Snapshot: 7a53af6a9beb58928d4a64dc92db09c9db65433f9909f1a10d16e302adaf86ba.
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| node_id UInt32 | code Utf8 | text Utf8 | __row_id Int64 |
|---|---|---|---|
| 6832 Filter to this value Explore graph node | D0210 Filter to this value | D0210 disposition: payable disposition: payable-with-criteria effective date: not-stated medicaid-il code-disposition disposition: payable medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition effective-date: not-stated payable-with-criteria: true | 560 |
| 6834 Filter to this value Explore graph node | D0120 Filter to this value | D0120 criteria: One periodic evaluation allowed every 6 months, per provider criteria: limited to one every six months per child ages 0-20 and one every 12 months per adult over 21 years of age in an office setting criteria: one D0120 per school year period in a school setting between 08/01/xxxx – 07/31/xxxx disposition: payable-with-criteria disposition: prior-authorization-required effective date: 08/31/xxxx – 07/31/xxxx effective date: not-stated medicaid-il code-disposition disposition: payable-with-criteria medicaid-il code-disposition disposition: prior-authorization-required medicaid-il code-disposition effective-date: 08/31/xxxx – 07/31/xxxx medicaid-il code-disposition effective-date: not-stated medicaid-wa code-disposition criteria: One periodic evaluation allowed every 6 months, per provider medicaid-wa code-disposition criteria: once every 6 months. Six months must elapse between the comprehensive oral evaluation and the first periodic oral evaluation. medicaid-wa code-disposition disposition: payable-with-criteria molina code-disposition disposition: payable-with-criteria payable-with-criteria: One periodic evaluation allowed every 6 months, per provider payable-with-criteria: Six months must elapse between the comprehensive oral evaluation and the first periodic oral evaluation. payable-with-criteria: once every 6 months. payable-with-criteria: true who may perform: ABCD dental providers who may perform: provider | 561 |
| 6836 Filter to this value Explore graph node | D0150 Filter to this value | D0150 criteria: For HCA purposes, this is to be considered an initial exam. One initial evaluation allowed per client, per provider or dental clinic. criteria: Six months must elapse before a periodic evaluation will be reimbursed. disposition: payable-with-criteria disposition: prior-authorization-required medicaid-il code-disposition disposition: prior-authorization-required molina code-disposition disposition: payable-with-criteria who may perform: ABCD dental providers who may perform: general dentist who may perform: general dentist or a specialist who may perform: provider or dental clinic | 562 |
| 6864 Filter to this value Explore graph node | Assertive Community Treatment (ACT) Filter to this value | Assertive Community Treatment (ACT) accreditation EXCLUDED: CMHCs are not required to submit the program approval review documentation outlined in Section 202.4.1 of this handbook accreditation required: IMPACT enrollment with the Specialty/Subspecialty combination of Team-Based Services/Assertive Community Treatment accreditation required: attest to complying with 89 III. Admin. Code 140.453 and 89 III. Admin. Code 140.Table N who may perform: certified and enrolled CMHCs | 563 |
| 6869 Filter to this value Explore graph node | Psychosocial Rehabilitation (PSR) and Intensive Outpatient Filter to this value | Psychosocial Rehabilitation (PSR) and Intensive Outpatient accreditation required: initial on-site reviews prior to Program Approval and annual on-site reviews thereafter | 564 |
| 6871 Filter to this value Explore graph node | Peer Support Workers (PSWs) Filter to this value | Peer Support Workers (PSWs) accreditation EXCLUDED: not required to be employees of the CMHC or BHC rendering services accreditation required: The CMHC or BHC maintains an executed agreement with the entity or individual serving as PSW. The agreement must minimally outline: 1) the scope of services to who may perform: Peer Support Workers (PSWs) | 565 |
| 6969 Filter to this value Explore graph node | 206.5 Filter to this value | 206.5 who may perform: Providers of SASS services who may perform: The provider delivering these services who may perform: transportation provider | 566 |
| 6973 Filter to this value Explore graph node | 206.6 Filter to this value | 206.6 who may perform: employee of a Medicar, service car, or taxi company who may perform: family member or other individual | 567 |
| 6999 Filter to this value Explore graph node | COS 050 Filter to this value | COS 050
disposition: payable
effective date: April 1, 2021 Filter to this value | 568 |
| 7091 Filter to this value Explore graph node | Dental Extractions Filter to this value | Dental Extractions
not-reimbursable: true
payable-with-criteria: true
prior-authorization-required: true Filter to this value | 569 |