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Increased Fees For Outpatient Psychiatric Clinics, Psychiatric Partial Hospitalization Programs and Outpatient Drug and Alcohol Clinics

Medical Assistance Bulletin
Number 28-99-03, 29-99-02, 33-99-01

June 23, 1999
Effective Date July 1, 1999

PURPOSE:
The purpose of this bulletin is to notify outpatient psychiatric clinics, psychiatric partial hospitalization programs and outpatient drug and alcohol clinics of fee increases effective July 1, 1999.

BACKGROUND/DISCUSSION:
The General Appropriation Act of 1999, (Act 1-A) provided funds to increase fees for outpatient psychiatric clinic services, outpatient partial hospitalization services and outpatient drug and alcohol services.

PROCEDURE:
Beginning July 1, 1999, the fees for outpatient psychiatric clinics, psychiatric partial hospitalization programs and outpatient drug and alcohol clinics are as follows:

Description

Procedure Code

 

Fee

Outpatient Psychiatric      
Individual Psychotherapy, 1/2 hour W9801 70 $26.00
Psychiatric Clinic Med Visit (15 minute visit only) for Drug Administration and Evaluation W1855 70 $15.00
Psychiatric Evaluation; Examination and Evaluation of a Patient W0987 70 $75.00
Group Psychotherapy, 1/2 hour, $14 per person per hour, Minimum sessions 1 hr; minimum two and maximum ten sessions in group (recipients and nonrecipients) W0981 70 $7.00
Family Psychotherapy; One-Half Hour W0983 70 $26.00
Collateral Family Psychotherapy; 1/2 Hour session provided to the family member(s) of a clinical patient in the absence of that patient W0984 70 $26.00
Clozaril Monitor and Evaluation Visit-Psych Clinic W1856 70 $20.00
Anesthesia for Electroconvulsive Therapy W0988 40 $41.00
Anesthesia for Electroconvulsive Therapy W0988 70 $41.00
Generally Accepted Individual Measurements W0841 70 $31.00
Generally Accepted Personality Inventories W0845 70 $31.00
Clinic, Neurological Evaluation W0985 70 $53.00
Psychotherapy (Indiv, Family, Collat) quarter-hour increments; only to be used after the initial half-hour session W0148 70 $10.00
Outpatient Psych Partial Hospitalization      
Licensed Children's Partial Hospitalization Program, Child, Per Hour W0865 AH $15.00
Licensed Adult Psychiatric Partial Hospitalization Program; Adult, Per Hour W0860 AH $14.00
Psy Partial Hospital Program; Non-covered Medicare Hours, Adult W0862 AH $14.00
Licensed Children's Psychiatric Hospitalization Program; Child (15-20 years of age), Per Hour W0866 AH $15.00
Licensed Adult Psychiatric Partial Hospitalization Program; Child, Per Hour W0861 AH $15.00
Licensed Child Psychiatric Partial Hospitalization Program; Child, per hour, (0-14 years of age) (Services beyond 720 hours) W0868 AH $15.00
Licensed Child Psychiatric Partial Hospitalization Program; Child, per hour, (15-20 years of age) (Services beyond 720 hours) W0869 AH $15.00
Licensed Adult Psychiatric Partial Hospital Program; Child, per hour (0 through 20 years of age) (Services beyond 720 hours) W0867 AH $15.00
Outpatient Drug and Alcohol      
Individual Psychotherapy; one-half hour W9801 AF $26.00
Methadone Maintenance Clinic Visit for Administration and Evaluation of Methadone (fifteen minute visit only) W0856 AG $7.50
Group Psychotherapy; 1/2 hour, $14.00 per person per hour; minimum session one hur; minimum two and maximum ten persons (recipients and non-recipients) W0981 AF $7.00
Psychiatric Evaluation; Examination and Evaluation of a Patient W0987 AF $75.00
Family Psychotherapy; one-half hour W0983 AF $26.00
Personality Inventories (without graphics or projectives) MMPI or (16 personality factors) W0845 AF $31.00
Individual Measurements: WAIS, WISC, Binet or Raven only W0841 AF $31.00

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