Common use of Billing for Treatment and Payment Restrictions Clause in Contracts

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.

Appears in 60 contracts

Samples: Treatment for Females (Trf) Services Agreement, Comprehensive, Continuum of Care for Females Contract, Treatment for Females (Trf) Services Agreement

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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- 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.

Appears in 3 contracts

Samples: Health and Human Services Commission Contract, Health and Human Services Commission Contract, Treatment Adult Services Contract

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Billing for Treatment and Payment Restrictions. Grantees shall: a. Bill Xxxx for only one intensity of service and service type (either outpatient or residential) per client per day b. Not bill xxxx 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.

Appears in 3 contracts

Samples: Treatment for Adult (Tra) Services Agreement, Comprehensive, Continuum of Care for Females Contract, Comprehensive, Continuum of Care for Females Contract

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