Pennsylvania Code
Title 55 - HUMAN SERVICES
Part III - MEDICAL ASSISTANCE MANUAL
Chapter 1155 - INTENSIVE BEHAVIORAL HEALTH SERVICES
PAYMENT FOR INTENSIVE BEHAVIORAL HEALTH SERVICES
Section 1155.36 - Covered services

Universal Citation: 55 PA Code ยง 1155.36

Current through Register Vol. 54, No. 12, March 23, 2024

The Department will pay for the following IBHS when the services are medically necessary:

(1) Individual services, which include:

(i) Behavior consultation services.

(ii) Mobile therapy services.

(iii) Behavioral health technician services.

(2) ABA services, which include:

(i) Behavior analytic services.

(ii) Behavior consultation-ABA services.

(iii) Assistant behavior consultation-ABA services.

(iv) Behavioral health technician-ABA services.

(3) Group services.

(4) EBT delivered through individual services, ABA services or group services.

(5) Services approved through the program exception process under § 1150.63 (relating to waivers).

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