Behavioral Health Rehabilitation Services Medical Assistance Bulletins

Bulletin Number 01-94-01 1153-95-01 Title Outpatient Psychiatric Services for Children Under 21 Years of Age Accessing Outpatient Wraparound Mental Health Services Not Currently Included in the Medical Assistance Program Fee Schedule for Eligible Children Under 21 Years of Age Summer Therapeutic Activities Program Procedures for Service Descriptions Diagnostic and Psychological Evaluations Change in Procedure for Requesting and Billing Therapeutic Staff Support (TSS) Services Change in Billing Procedure for Behavioral Health Rehabilitation Services Procedures for Licensed, Enrolled, Mental Retardation Providers to Access and Submit Claims for Outpatient Behavioral Health Services for Individuals under 21 Years of Age. Prior Authorization of Therapeutic Staff (TSS) Services (See 01-01-06) Freedom of Choice for Medical Assistance Recipients Requiring Behavioral Health Services Behavioral Specialist Consultant and Mobile Therapist Revisions to Policies and Procedures Relating to Mobile Therapy , Behavioral Specialist Consultant and Therapeutic Staff Support Services Revision to Prior Authorization of Therapeutic Staff Support (TSS) Services. (See 08-04-06) Addition of Behavioral Health Rehabilitation Service to the Medical Assistance (MA) Program Fee Schedule Documentation and Medical Record Keeping Requirements Reissue of Medical Assistance (MA) Bulletin Addition of Behavioral Health Rehabilitation Services to the MA Program Fee Schedule Reminder to Providers Who Prescribe Behavioral Health Rehabilitation Services of Documentation Requirements Additional Place of Service (Office) for Psychotherapy Federally Qualified Health Centers and Rural Health Clinics Providing Behavioral Health Rehabilitation Services. (Contains list of MAB) Medical Assistance Program Fee Schedule Procedure Code Changes for Behavioral Health Services Revised Reporting Requirements for Behavioral Rehabilitation Services in the Health Choices Program Issue Date 1/1/94 9/8/95 Effective Date 1/1/94 9/8/95

50-96-03 01-96-11 01-97-08 01-97-16 01-98-10 17-99-02

4/25/96 4/29/96 5/28/97 9/17/97 7/10/98 12/3/99

4/25/96 4/29/96 5/28/97 9/17/97 7/1/98 12/3/99

01-00-13 01-00-16 01-01-04 01-01-05 01-01-06 01-01-07 41-02-02 01-02-05 01-02-07 01-03-01 08-04-01 08-05-05 08-04-05

12/29/00 12/29/00 4/26/01 6/1/01 6/1/01 6/21/01 3/21/02 3/6/02 4/3/02 1/6/03 2/2/04 9/8/05 11/30/04

3/1/01 12/29/00 4/26/01 7/1/01 7/1/01 7/1/01 3/21/02 7/1/01 3/1/01 1/1/03 2/2/04 10/1/05 1/1/05

Behavioral Health Rehabilitation Services Medical Assistance Bulletins, continued

Bulletin Number 08-04-05 08-04-07 07-05-01

Title Revised Reporting Requirements for Behavioral Rehabilitation Services in the Health Choices Program Revision to the Summer Therapeutic Activities Program Annual Service Description Submission Requirement Psychological/Psychiatric/Clinical Re-Evaluations and Re-Authorizations for Behavioral Health Rehabilitation (BHR) Services for Children and Adolescents with Behavioral Health Needs Compounded by Developmental Disorders. (See 01-94-01). Medical Assistance Program Fee Schedule Procedure Code Changes for Behavioral Health Services Frequency of comprehensive evaluations to determine the need for BHR services, as well as, the maximum length of the authorization period. Clarification of permissible arrangements for Psychologists who are associated with the provision of behavioral health rehabilitation services Guidelines for Interagency Planning for Children in Need of Behavioral Health Rehabilitation Services or Partial Hospitalization on Services During the School Day

Issue Date 11/30/04 12/23/04 6/24/05

Effective Date 1/1/05 1/1/05 8/1/05

08-05-05 OMHSAS 10-04 OMHSAS 11-05 OMHSAS 08-01

9/8/05 7/9/2010 3/8/2011 01/04/08

10/1/05 8/01/2010 3/8/2011 01/04/08

Link to DPW Bulletin Search: http://services.dpw.state.pa.us/olddpw/bulletinsearch.aspx