HT+o @a94VJJ>)fgH6\~O_>}w?_o?O?wx~|:go>QBwa]gi(=F9}vD9UgYzQGh+t5yv1:3&knhsOq{(CkP]LUtcK$uZSI#X,w=gShk;u]k?LKHce{B1hW%Tb=~NbUHbY ,jgj.+E=[ra?..S=SWB`"t>TeEUx ). Reimbursement policies are designed to assist you when submitting claims to CareSource. Clinical Payment Policy | Georgia Medicaid | Peach State Health Plan Georgia Families Medicaid; Georgia Families PeachCare for Kids . Therefore, when crisis intervention services are billed with modifier U1, U2, U3, U4 or U5 and modifier U6, U7 or GT are not also appended, the crisis intervention services (H2011) will be recommended for denial. <> NC Medicaid Contact Center Examples of provider administered drugs: Copyright 2023 Wellcare Health Plans, Inc. Behavioral Health and Rehabilitation Services, Durable Medical Equipment and Supplies - Enteral Nutrition, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Services, Family Planning Services Contraceptives, U1 (Practitioner Level 1) - U6 (In-Clinic), U1 (Practitioner Level 1) - U7 (Out-of-Clinic), U2 (Practitioner Level 2) - U6 (In-Clinic), U2 (Practitioner Level 2) - U7 (Out-of-Clinic), U3 (Practitioner Level 3) - U6 (In-Clinic), U3 (Practitioner Level 3) - U7 (Out-of-Clinic), U4 (Practitioner Level 4) - U6 (In-Clinic), U4 (Practitioner Level 4) - U7 (Out-of-Clinic). MEDICAL POLICY STATEMENT GEORGIA MEDICAID - CareSource The Department of Community Health (DCH) administers Medicaid reimbursement and associated policy for mental health treatment and services through partnership with The Department of Behavioral Health and Developmental Disabilities (DBHDD). 2021 Medicaid Enhancements to Reimbursement Policies. b. Providers and their office staff are encouraged to use self-service channels to verify member eligibility. Press Enter or Space to expand a menu item, and Tab to navigate through the items. According to Georgia Medicaid guidelines, a brief emotional/behavioral assessment performed during a non-periodic screening visit for a patient less than 21 years of age must be reported with modifier EP (EPSDT program) and billed in Place of Service 99 (Other). Provider Fee Payment | Georgia Department of Community Health
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