Billing for Treatment and Payment Restrictions. Grantees will;
Billing for Treatment and Payment Restrictions. Grantees shall:
a. Bill for only one intensity of service and service type (either outpatient or residential) per client per day
b. Not bill for an intensity of service and service type if another System Agency- funded Treatment Grantee is providing and billing System Agency for another intensity of service and service type.
c. The following are the exceptions to Item (b):
a. Co-occurring psychiatric / substance use disorder services,
b. Ambulatory detoxification, or
c. Opioid substitution therapy services.
d. If two Grantees provide services to the same client under this exception, the Grantees must coordinate services and both Grantees must document the service coordination in CMBHS.
Billing for Treatment and Payment Restrictions. Treatment Contractors may bill for only one intensity of service and service type (either outpatient or residential) per client per day Treatment Contractors shall not bill for an intensity of service and service type if another DSHS-funded Treatment Contractor is providing and billing DSHS for another intensity of service and service type. The following is the only exception: a client may receive pharmacotherapy services, co-occurring psychiatric and substance use disorder services, or ambulatory detoxification services at the same time the client receives substance abuse outpatient or residential treatment services. If two Contractors provide services to the same client under this exception, the Contractors must coordinate services and both Contractors must document the service coordination.
Billing for Treatment and Payment Restrictions. Treatment Contractors shall bill for treatment services pursuant to Rules governing billing for treatment services. Treatment Contractors may bill for only one intensity of service and service type (either outpatient or residential) per client per day Treatment Contractors shall not bill for an intensity of service and service type if another DSHS-funded Treatment Contractor is providing and billing DSHS for another intensity of service and service type. The following is the only exception: a client may receive pharmacotherapy services, co-occurring psychiatric and substance use disorder services, or ambulatory detoxification services at the same time the client receives substance abuse outpatient or residential treatment services. If two Contractors provide services to the same client under this exception, the Contractors must coordinate services and both Contractors must document the service coordination.
Billing for Treatment and Payment Restrictions. 55 Section 24.04 Financial Status Reports for Substance Abuse Contracts. 55 Section 24.05 NorthSTAR. 55 Section 24.06 Moving Funds Between Program Attachments. 55 Section 24.07 Contract Reconciliation. 55
Billing for Treatment and Payment Restrictions. Grantees will;
a. bill for only one intensity of service and service type (either outpatient or residential) per client per day
b. not bill for an intensity of service and service type if another System Agency-funded Treatment Grantee is providing and billing System Agency for another intensity of service and service type. The following are the exception to item b.: A client may receive;
a. co-occurring psychiatric / substance use disorder services,
b. ambulatory detoxification, or
c. opioid substitution therapy services, at the same time the client receives SUD outpatient or residential treatment services or items 1-3 listed above. If two Grantees provide services to the same client under this exception, the Grantees must coordinate services and both Grantees must document the service coordination in CMBHS.
