C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-107, app 144-101-III-107-I
Current through 2024-44, October 30, 2024
REVENUE CODE | DESCRIPTION | MAXIMUM ALLOWANCE | UNIT |
1001 | Medical, Clinical, & Direct Care Services provided in a Psychiatric Residential Treatment Facility (Per Diem) | $485.72 | Per day |
0169 | Room and Board | Routine and Fixed Costs allowance as determined by the Facility's rate letter | Per day |
0184 | Therapeutic Leave Day | Routine and Fixed Costs allowance as determined by Facility's rate letter as under 0169 | Per day |
0185 | Medical Leave Day | Routine and Fixed Costs allowance as determined by Facility's rate letter as under 0169 | Per day |
Procedure Code: G9007 HK | Board Certified Behavior Analyst (BCBA) | $16.60 | Per 15 minutes |
C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-107, app 144-101-III-107-I