Friday, November 13, 2015

#Waiverwise: Psychological Therapy

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual:

Psychological Therapy

Psychological Therapy services means services provided by a licensed psychologist with an endorsement as a health service provider in psychology, a licensed marriage and family therapist, a licensed clinical social worker, or a licensed mental health counselor. 

Reimbursable Activities Reimbursable activities under Psychological Therapy services include the following: 
 Individual counseling 
 Biofeedback 
 Individual-centered therapy 
 Cognitive behavioral therapy 
 Psychiatric services 
 Crisis counseling
 Family counseling 
 Group counseling 
 Substance abuse counseling and intervention 
 Planning, reporting, and write-up when in association with the actual one-on-one direct care/therapy service delivery with the waiver participant

One hour of billed therapy service must include a minimum of 45 minutes of direct patient care with the balance of the hour spent in related patient services.

Services that are available through the Medicaid State Plan (a Medicaid State Plan prior authorization denial is required before reimbursement is available through the Medicaid waiver for this service). 

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