New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES
Part 841 - Medical Assistance for Chemical Dependence Services
Section 841.11 - Medical assistance payments for children and family treatment and support services

Universal Citation: 14 NY Comp Codes Rules and Regs § 841.11

Current through Register Vol. 46, No. 39, September 25, 2024

(a) The provisions of this section are applicable to rehabilitative health and behavioral health services provided by programs or providers certified or designated pursuant to Part 823 to provide Children and Family Treatment and Support Services (CFTSS).

(b) Billable Services: Billable services are those authorized and defined in the Children and Family Treatment Support Services Manual posted on the Department of Health website:

(1) Crisis Intervention (CI);

(2) Other Licensed Practitioners (OLP);

(3) Community Psychiatric Support and Treatment (CPST);

(4) Psychosocial Rehabilitation (PSR);

(5) Family Peer Support Services (FPSS); and

(6) Youth Peer Support and Training (YPST).

(1) Modality. Unless otherwise authorized, services should include face-to-face interaction with the child/youth and their family, as appropriate. Any such interactions, or the reason(s) such interaction could not be completed, should be documented in the patient treatment/recovery plan and case record.

(2) Setting. Services may be provided in a variety of settings, including an emergency room, health or behavioral health clinic setting, or other community location where the child/youth lives, attends school, works or engages in social activities. Services should be offered in the best setting suited for the desired outcomes and as referenced in the Manual.

(d) Rate Setting. Rate of reimbursement is as posted on the Department of Health website. The rate development methodology is composed of provider cost modeling, provider compensation studies and cost data. The following list outlines components which may be used in determining rate development:

(1) staffing assumptions and staff wages;

(2) employee-related expenses;

(3) program-related expenses; and

(4) program billable units.

Disclaimer: These regulations may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.

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