RCPA - Rehabilitation and Community Providers Association
 
 

Archives

Recent Updates from DPW
October 12, 2005

The following information of interest to PCPA members has been added to the "What’s New?" section of the Department of Public Welfare (DPW) Office of Medical Assistance Programs web site (www.dpw.state.pa.us/omap/news/omapnews.asp)

Medical Assistance (MA) Bulletin
MA Bulletin #02-05-01, Preferred Drug List - Phase 1 (www.dpw.state.pa.us/omap/provinf/mabull/020501.asp)

Remittance Advice Alerts/PROMISe™ Banner Page

Other


The Office of Mental Health and Substance Abuse Services has also provided PCPA with the table below regarding national codes for crisis intervention services. DPW added three pricing modifiers to three separate codes in order to permit claims to process properly. National codes are to be used for dates of service beginning October 1. Follow the link to the OMHSAS Bulletin, Mental Health Crisis Intervention (MHCI) Fee Schedule, referenced in the table (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinDetailId=2015). Questions regarding the codes may be addressed to the Behavioral Health Hotline (800-433-4459).

Local Code
Local Code Description
National Code
ProviderType
PROMISe Specialty
POS
Pricing Modifier
Info Modifier
National code Definition
MA Unit of Service
Comments
W9792
Telephone Crisis
H0030
11
118
11
None
None
Behavioral Health Hotline Service
15 min
Please refer to rates published in OMHSAS-01-03.
W9793
Walk-in Crisis
H2011
11
118
11
None
None
Crisis Intervention Service, per 15 min
15 min
Please refer to rates published in OMHSAS-01-03.
W9794
Mobile Crisis, Individual Delivered
H2011
11
118
15
UB
HE
Crisis Intervention Service, per 15 min
15 min
Please refer to rates published in OMHSAS-01-03.
W9795
Mobile Crisis, Team Delivered
H2011
11
118
15
U7
HT
Crisis Intervention Service, per 15 min
15 min
Please refer to rates published in OMHSAS-01-03.
W9796
Crisis In-Home Support
S9484
11
118
12, 99
None
None
Crisis Intervention mental health services, per hour
per hour
MIN 4 units Please refer to rates published in OMHSAS-01-03.
W9797
Medical Mobile Crisis, Team Delivered
H2011
11
118
15
U9
HK
Crisis Intervention Service, per 15 min
15 min
Please refer to rates published in OMHSAS-01-03.
W9798
Crisis Residential
S9485
11
118
12
None None
None
Crisis Intervention mental health services, per diem
per diem
Each per diem is 8 hours and 1 unit would be a minimum of 4 hours and a maximum of 8 hours. MIN 1 MAX 3 per day. Please refer to rates published in OMHSAS-01-03.

< Back