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32.3.2 MH Rehabilitative Services
The following rehabilitative services may be provided to individuals who satisfy the criteria of the MH priority population and who are determined to need rehabilitative services. These services may be provided to a person with a single severe mental disorder (excluding MR, pervasive developmental disorder, or substance use disorder) or a combination of severe mental disorders as defined in the latest edition of the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR):
|
Service
|
Procedure Code
|
Modifier
|
Limitations
|
|
Day program for acute needs
|
1-G0177
|
|
6 units (4.5 to 6 hours) per calendar day, in any combination, for people 18 years of age or older
|
|
Day program for acute needs, Assertive Community Treatment (ACT), or ACT alternative client
|
1-G0177
|
HK
|
|
Medication training and support, adult, individual
|
1-H0034
|
|
8 units (2 hours) per calendar day in any combination, for people 18 years of age or older.
|
|
Medication training and support, adult, ACT or ACT alternative client, individual
|
1-H0034
|
HK
|
|
Medication training and support, adult, group
|
1-H0034
|
HQ
|
|
Medication training and support, adult, ACT or ACT alternative client, group
|
1-H0034
|
HK and
HQ
|
|
Medication training and support, child and adolescent, individual
|
1-H0034
|
HA
|
8 units (2 hours) per calendar day in any combination, for people less than 18 years of age.
|
|
Medication training and support, child and adolescent with other individual
|
1-H0034
|
HA and HR or UK
|
|
Medication training and support, child and adolescent, group
|
1-H0034
|
HA and HQ
|
|
Medication training and support, child and adolescent with other group
|
1-H0034
|
HA and HQ and HR or UK
|
|
Crisis intervention services, adult
|
1-H2011
|
|
96 units (24 hours) per calendar day in any combination
|
|
Crisis intervention services, adult, ACT or ACT alternative client
|
1-H2011
|
HK
|
|
Crisis intervention services, child and adolescent
|
1-H2011
|
HA
|
|
Skills training and development, adult, individual
|
1-H2014
|
|
16 units (4 hours) per calendar day, in any combination, for people 18 years of age or older
|
|
Skills training and development, adult, group
|
1-H2014
|
HQ
|
|
Skills training and development, child and adolescent, individual
|
1-H2014
|
HA
|
16 units (4 hours) per calendar day, in any combination, for people less than 18 years of age
|
|
Skills training and development, child and adolescent, with other, individual
|
1-H2014
|
HA and HR or UK
|
|
Psychosocial rehabilitative services, individual
|
1-H2017
|
|
16 units (4 hours) per calendar day, in any combination, for people 18 years of age or older
|
|
Psychosocial rehabilitative services, ACT or ACT alternative client, individual
|
1-H2017
|
HK
|
|
Psychosocial rehabilitative services, by RN, individual
|
1-H2017
|
TD
|
|
Psychosocial rehabilitative services ACT or ACT alternative client, by registered nurse (RN), individual
|
1-H2017
|
HK and
TD
|
|
Psychosocial rehabilitative services, group
|
1-H2017
|
HQ
|
|
Psychosocial rehabilitative services, ACT or ACT alternative client, group
|
1-H2017
|
HQ and
HK
|
|
Psychosocial rehabilitative services, by RN, group
|
1-H2017
|
HQ and
TD
|
|
Psychosocial rehabilitative services, ACT or ACT alternative client, by RN, group
|
1-H2017
|
HQ and HK
and TD
|
|
Psychosocial rehabilitative services, Individual, crisis
|
1-H2017
|
ET
|
96 units (24 hours) per calendar day, in any combination
|
|
Psychosocial rehabilitative services, ACT or ACT alternative client, Individual, crisis
|
1-H2017
|
HK and
ET
|
|
