Community Mental Health . In Progress . HFS 61.08 Requirements for inservice and educational leave programs for per-sonnel. Although the codes have changed, BCBSIL will continue to require benefit prior authorization for the following new codes and codes with modifiers: Community Support Team H2016 - NEW CODE A fee schedule is a complete listing of service codes and fees used to pay services within the PBHS system. HFS pays for psychiatric services based on a set fee schedule.. HFS pays for psychological services, if provided by a psychiatrist, at the usual and customary rate, if it is reasonable.. HFS pays for community mental health services according to criteria set by HFS and DMHDD. . Completed . Practitioner Fee . HFS 61.11 Client rights. Fee Schedule for Providers of Community-Based Behavioral Services Effective: 7/1/2019 HCPCS Modifiers State Max Add-On (Effective Total State Max Service Name Code Units 7/1/2019 -1 2 On -SiteOff Group A - billable by BHC, CMHC, IPs Assessment and Treatment Planning Fee Schedule for Providers of Community-Based Behavioral Services I will share this with the managed care companies. Please note there are three pages to this public notice-- the 3rd page being a draft Mental Health Fee Schedule! Completed . Community Mental Health Providers Fee Schedule (pdf) Community Mental Health Providers Fee Schedule Effective 07-01-2018 (pdf) . POS 21 - Inpatient Hospital. Community Mental Health (CMHC) Fee Schedule Effective 01.01.2022 . Community-based hospitals that provide psychiatric services should be coded as . COVID19 Fee Schedule Final Rev 09142020 ; 9/14/2020 ; . 11/16/2021 . HFS PROVIDER TYPE DESCRIPTION HFS CATEGORY OF SERVICE (COS) DESCRIPTION 036 Community Mental Health Provider 001, 007, 009, 033, 034, 036, 047, 049, 067, 068, 097 Can vary. March 29, 2022 Provider Memorandum Rate/Fee Schedule UpdatesApril 2022 Molina Healthcare of Illinois (Molina) has implemented the new rate/fee schedule in alignment with the Illinois Department of Healthcare and Family Services (HFS). Specialized mental health programs for high-risk populations RSA MHP QMHP Doctoral level Group setting Family/couple The department indexes fees and income levels in January each year. 12/7/2020 . COVID19 Fee Schedule HFS Email Recd 10.04.2021 [0004A] 10/4/2021 . HFS issued a notice to inform providers of an update to the recently published Community Mental Health Services Fee Schedule Effective August 1, 2018. Optum Maryland has provided a listing of Mental Health, Substance Use Disorder and other specific levels of care by fee schedules for Providers to use. Fee Schedule for Providers of Community-Based Behavioral Health Services Effective: 7/1/2020 1. Integrated Assessment and Treatment Planning (IATP) . HFS Rural Health Clinic. Community Mental Health Providers Fee Schedule (pdf) Community Mental Health Providers Fee Schedule Effective 07-01-2018 (pdf) . We are thrilled to see that HFS granted our request to post a draft Fee Schedule prior to July 1, 2022. HFS 61.12 Grievance procedure. CMHC Providers Providers rendering and billing CMHC services are required to enroll with IL HFS under Provider Type 36 Provider Provider Type . Link to HFS CBS Handbook. Non-Covered Services: The following activities are not reimbursable to Medicaid Community Mental Health Centers, either because they are not directly Community Mental Health Services Fee Schedule. 10/8/2021 . The changes to the fee schedule were implemented per guidance of the Illinois Department of Healthcare and Family Services (HFS). beginning November 1, 2018. HFS Federally Qualified Health Center. Completed . Title/Description Date Received from HFS Retro / Prospective Effective Date System Update Status as either Community Mental Health Centers (CMHC) (provider type 036) or Behavioral Health Clinics (provider type 027) with HFS. Community Mental Health Services Fee Schedule. 7/1/2020 . Community Mental Health (CMHC) Fee Schedule Effective 07.01.2020 . HFS PROVIDER TYPE DESCRIPTION HFS CATEGORY OF SERVICE (COS) DESCRIPTION 036 Community Mental Health Provider 001, 007, 009, 033, 034, 036, 047, 049, 067, 068, 097 Can vary. Community Based Behavioral Services Fee Schedule Effective 01-01-2022 (pdf) . MAT Fee Schedule (pdf) Managed Care Maternal and Child Health Add-ons (pdf) Optometric Fee Schedule (pdf) Optical Supplies Fee Schedule - Department of Corrections Pharmacy Podiatrist Fee Schedule Practitioner Fee Schedule Provider Fee Schedule Format Analysis (xls) Renal Dialysis Injectable Drugs Rural Health Clinic CY22 Rates (pdf) Completed . NPI Enrollment and Registration Requirements CMHC Services CMHC Fee Schedule CMHC Service Definition Reimbursement Guidelines Prior Authorization . - Effective 01.01.2022 . Services Purchased by Fee-for-Service Medicaid Services Pre-Admission Screening (PAS/MH) Capacity Grant Programs 9/22/2021 . 12/20/2021 : No Impact . apply to all standards for community mental health, developmen-tal disabilities, and alcoholism and other drug abuse services ..: (1) "Board" means aboard of directors established under ss.. . Refer to HFS for clarity Can include providers defined by HFS as MHP - Mental Health Provider QMHP - Qualified Mental Health Professional . Revenue Cycle Management Updates June 28, 2022 July 1, 2022 Mental Health Rate Increases HFS Released Public Notice Re: Mental Health Rate Increases Effective July 1, 2022 - Pending Federal Approval Today, HFS released this Public Notice (pdf) notifying providers of the proposed Medicaid reimbursement rates for certain mental health services. Program as funded by another public payer must be enrolled with HFS as a Community Mental Health Center (Provider Type 036) to participate with HFS Medical Programs. i) IO Services may only be provided: By a Community Mental Health Center or Behavioral Health Clinic; Completed : 12/21/2021 . Now- let's break down the notice. Fee Schedule for Providers of Community-Based Behavioral Health Services Effective: 8/1/2018 - 10/31/2018 Corrected 1/8/2020 1. 1/1/2022 . HFS 61.15 Continuity of care. HFS Home Office. Institutional Billing Guidelines: HFS considers a duplicate claim as more than one claim submitted to a MCO using the same criteria when billed on UB-04 or 837institutional claim formats. CMHC Providers Providers rendering and billing CMHC services are required to enroll with IL HFS under Provider Type 36 Provider Provider Type . 2: On-Site Off-Site On-Site Off-Site. 12/27/2021 . NPI Enrollment and Registration Requirements CMHC Services CMHC Fee Schedule CMHC Service Definition Reimbursement Guidelines Prior Authorization . Completed . Effective with dates of service beginning October 1, 2021, providers billing a service from the Community Based Behavioral Services Fee Schedule that was performed via audio or video communication must append the procedure code with modifier GT and use Place of Service Code 02. Make a copy of your USCIS Immigrant Fee handout or write down your A-Number and DOS Case ID and store it in a safe place Hence, we have changed our customer helpline number Please book an appointment via our online system, eBooking Dualite Sales & Service, Inc A: Everyone is wondering if CERB will be indexed or scaled to income to a maximum amount A: Everyone . COVID Long Term Care (LTC) Isolation/Vent Recd 01.03 . 2: On-Site Off-Site On-Site Off-Site. 3/1/2021 . Completed Community Mental Health (CMHC) Fee Schedule Effective 10.01.2021 11/8/2021 10/1/2021 Completed 12/10/2021 No Impact COVID Long-Term Care (LTC) Isolation/Vent Recd 11.10.2021 11/10/2021 Multiple No Updates ABS (ABA) Fee Schedule Corrected Eff 11/1/2020 11/16/2021 11/1/2020 Completed 12/20/2021 No Impact CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. POS 51 - Inpatient Psychiatric Facility. This coding is needed for HFS to track the mode of service delivery. Search: Cerb Contact Number 1833. 03 - school 33 - custodial care facility 04 - homeless shelter 34 - hospice 12 - home 51 - inpatient psych facility (free standing psych) $ 14.47 $ 17.61 $ 19.07 $ 3.62 $ 4.40 $ 6.36 *act and cst services must be billed with an additional modifier indicating the highest level of practitioner level delivering the unit(s) of service from the Stay informed with important HFS Coronavirus 2019 (COVID-19) Updates . HFS End Stage Renal Disease. Policy questions regarding this notice may be directed to the Bureau of Behavioral Health via email at HFS.BHCompliance@illinois.gov. . HFS 61.14 Affirmative action and civil rights compliance. 10/20/2021 ; 2 ; Title/Description Date Received from HFS . HCBS Habilitation Home-Based Habilitation Tiered Rate Fee Schedule (Effective July 1, 2022) Crisis Response Services and Subacute Mental Health Service Fee Schedule Low Utilization Payment Adjustment (LUPA) Rate Sheet (Effective July 1, 2021) MHDS Regional Average NEMT Rates for HCBS Waiver Transportation (Effective July 1, 2022) HFS Hospice. Program as funded by another public payer must be enrolled with HFS as a Community Mental Health Center (Provider Type 036) to participate with HFS Medical Programs. Billing questions regarding this notice may be directed to a billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable managed care plan. HCBS Prevocational and Supported Employment Services Fee Schedule (Effective July 1, 2022) HCBS Habilitation Home-Based Habilitation Tiered Rate Fee Schedule (Effective July 1, 2022) Crisis Response Services and Subacute Mental Health Service Fee Schedule. HFS issued updated reimbursement rates for specific community-based mental health services provided by a licensed Community Mental Health Center (CHMC) and Behavioral Health Centers (BHC). ABS (ABA) Fee Schedule Corrected Eff 11/1/2020 . HFS 61.10 Eligibility for service. Community Based Behavioral Services Fee Schedule Effective 01-01-2022 (pdf) . The ABA Fee Schedule can be viewed on the Autism Providers Information page, here. HFS 61.09 Fee schedule. from HFS Retro / Prospective Effective Date System Update Status (Loading of Rates) System Update Date Completed Claims Adjustment Status (Reprocessing of Claims) Claims Adjustment Date Completed Community Mental Health (CMHC) Fee Schedule Effective 10.01.2021 11/8/2021 ZIPCODE TO CARRIER LOCALITY FILE (see files below) See Related Links below for information about each specific fee schedule. 10/12/2020 . The schedule of fees breaks fees down by activity, population type, policy, and the fees payable for low, medium and high income Victorians. Mental Health: T1016 HM 1/4 hr $ 14.76 $ 17.13 $ 0.00 $ 14.76 $ 17.13 Case Management - Mental Health: HFS Skilled Nursing. 9/2/2020 . Fee Schedule for Providers of Community-Based Behavioral Health Services Effective: 8/1/2018 - 10/31/2018 Corrected 1/8/2020 1 2 On-Site Off-Site On-Site Off-Site Integrated Assessment and Treatment Planning (IATP) H2000 HN 1/4 hr $ 17.18 $ 19.93 $5.00 $ 22.18 $ 24.93 Integrated Assessment and Treatment Planning (IATP) H2000 Through this agreement with the Provider, the Department purchases one or more mental health programs or services, which are to be provided and then reported or billed to the Department and/or HFS under the following broad categories. Community Mental Health (CMHC) Fee Schedule Effective 10.01.2021 . Stay informed with important HFS Coronavirus 2019 (COVID-19) Updates . HFS 61,09 Fee schedule HF'S 61.10 Eligibility for service HF'S 61 .11 Client rights HFS 61 .12 Grievance procedure HFS 61.13 Client advocacy . NOTE: Community Mental Health Centers (CMHCs) must follow additional guidance to prevent duplicate claim submissions. Providers who are enrolled in IMPACT as a Community Mental Health Center with an existing approved Specialty of Residential may bill Community Support using the modifiers designating MHP (HN) and . Title/Description Date Received from HFS Retro / Prospective Effective Date System Update Status Link to HFS provider notive 03/20/2020. Institutional Billing Guidelines: HFS considers a duplicate claim as more than one claim submitted to a MCO using the same criteria when billed on UB-04 or 837institutional claim formats. HFS Community Mental Health Clinic/CORF. The Department of Health fee schedule and income ranges provide a basis for calculating fees for community health services. Free-standing psychiatric hospitals (i.e., psychiatric services only) should be coded as . 1/20/2022 . Intensive Outpatient Services are scheduled group therapeutic sessions made available for at least four hours per day, five days per week, for individuals at risk of, or with a history of, psychiatric hospitalization. Non-Covered Services: The following activities are not reimbursable to Medicaid Community Mental Health Centers, either because they are not directly June 28, 2022 Provider Memorandum Rate/Fee Schedule UpdatesJuly 2022 Molina Healthcare of Illinois (Molina) has implemented the new rate/fee schedule in alignment with the Illinois Department of Healthcare and Family Services (HFS). HFS 61.16 Volunteer services. COVID19 Fee Schedule HFS Email Recd 02.22.2021 [U0003 U0004 $75, U0005 $25] Eff 03.01.2021 . 1/1/2022 . HFS 61.13 Client advocacy. 11/23/2021 . Community Mental Health . Link to HFS CBS Fee Schedule. 2/22/2021 . Refer to HFS for clarity Can include providers defined by HFS as MHP - Mental Health Provider QMHP - Qualified Mental Health Professional Key messages. WAG 20-20-03. Low Utilization Payment Adjustment (LUPA) Rate Sheet (Effective July 1, 2021) HFS Organ Procurement Organization. NOTE: Community Mental Health Centers (CMHCs) must follow additional guidance to prevent duplicate claim submissions. 11/1/2020 : Completed . HFS Home Health Agency. COVID19 Fee Schedule HFS Email Recd 06.10.2021 [91306 0064A . No Impact : Federally .