[PC-BH-Integration] networking-billing codes used

[Reardon, Elizabeth]

Hi Cesar
 
Couple of questions - are Licensed Clinical Worker Associates separately licensed in your State ?- if not, are  LICSW's enrollable as Medicaid providers? Also, do you bill a seperate encounter if a patient comes to your clinic and sees both a doc and a licensed therapist, or is the therapist visit included in the physician encounter?
 
I would strongly suggest that you contact your Medicaid agency for clarification, but my understanding is that a visit with a licensed psychologist or other counselor (if these folks are currently enrolled as Medicaid providers)is able to be billed as a separate encounter from a physician visit. If you have a non licensed individual providing the service, I believe  you will need some sort of a face to face  with the licensed person during the course of the visit for that to count as an encounter. 
 
Hope this helps
 
Liz Reardon
From: pc-bh-integration-bounces at lists101.his.com on behalf of Cesar Velasquez
Sent: Wed 3/7/2007 1:10 PM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] networking-billing codes used


Hello everyone,

 

I have just joined this network and hope to get some good information so that I can ensure that my program is as successful as possible with the assistance of all of you.  

 

We are an FQHC and started our Integrated Behavioral Health Program about three years ago.  Recently there have some questions around billing and the staff that I have currently working.  As you can imagine it is difficult to fill positions with Psychologists or LCSWs, and thus would like to ask if anyone from an FQHC has hired Licensed Clinical Social Worker Associates and if so, are there any specific billing issues.

 

Thank you in advance for any feedback on this subject.

 
Cesar Velasquez, LCSW
Behavioral Health Coordinator
Darin M. Camarena Health Centers, Inc.
 
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