Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1155 - INTENSIVE BEHAVIORAL HEALTH SERVICES
PAYMENT FOR INTENSIVE BEHAVIORAL HEALTH SERVICES
Section 1155.34 - Payment conditions for group services
Current through Register Vol. 54, No. 12, March 23, 2024
(a) Payment will be made to a licensed IBHS agency for group services if the following conditions are met:
(b) Payment will be made to a licensed IBHS agency for individual interventions provided as part of group services when included in the child's, youth's or young adult's ITP.
(c) Payment will be made to a licensed IBHS agency for group services for up to 45 days after initiation of services, if an ITP has not yet been completed but there is a written order for services that complies with subsection (a)(1) and there is a treatment plan for the group services provided.
This section cited in 55 Pa. Code § 1155.35 (relating to payment conditions for EBT delivered through individual services, ABA services or group services); 55 Pa. Code § 1155.37 (relating to limitations); 55 Pa. Code § 5240.41 (relating to individual records); 55 Pa. Code § 5240.94 (relating to group services initiation requirements); and 55 Pa. Code § 5240.96 (relating to individual treatment plan).