i t u soonercare 101 learning objectives
play

I/T/U SOONERCARE 101 LEARNING OBJECTIVES BH Rules Eligible BH - PowerPoint PPT Presentation

Sep 06, 2022 •321 likes •505 views

I/T/U SOONERCARE 101 LEARNING OBJECTIVES BH Rules Eligible BH Services Billing Issues EVER HAVE THIS FEELING? STAYING IN BOUNDS BEHAVIORAL HEALTH RULES Chapter 30 Medical providers FFS Subchapter 5 Individual

  1. I/T/U SOONERCARE 101

  2. LEARNING OBJECTIVES  BH Rules  Eligible BH Services  Billing Issues

  3. EVER HAVE THIS FEELING?

  4. STAYING IN BOUNDS

  5. BEHAVIORAL HEALTH RULES  Chapter 30 – Medical providers FFS  Subchapter 5 – Individual Providers & Specialties  Part 21 - Outpatient Behavioral Health Services  Part 25 – Psychologists  Part 26 - Licensed Behavioral Health Services  Part 110 – Indian Health Services, Tribal Programs, and Urban Indian Clinics (I/T/US)

  6. BEHAVIORAL HEALTH SERVICES

  7. BEHAVIORAL HEALTH SERVICES  “means professional medical services for the treatment of a mental health and/or addiction disorder(s ).”  - 317:30-5-1087.2 Terms and definitions

  8. BEHAVIORAL HEALTH SERVICES  (1) Mental Health Assessment/Evaluation Testing;  (2) Alcohol and/or Substance Abuse Services Assessment and Treatment Plan Development;  (3)Crisis Intervention Services;  (4) Medication Training and Support;  (5) Individual/interactive Psychotherapy;  (6) Group Psychotherapy; and  (7) Family Psychotherapy.

  9. ANYONE ELSE EVER FEEL LIKE THIS?

  10. BEHAVIORAL HEALTH SERVICES  Behavioral health professional therapy services are covered when provided in accordance with a documented individualized treatment plan, developed to treat the identified mental health and/or substance abuse disorder(s). A minimum of a 45 to 50 minute standard clinical session must be completed by an I/T/U in order to bill an encounter for the session.

  12. 317:30-5-1091.8 DEFINITION OF I/T/U SERVICES  (d) I/T/U outpatient encounters include but are not limited to:  (8) Behavioral health professional services and services and supplies incidental to the services of LBHPs; and

  13. BEHAVIORAL HEALTH RULES  Licensed Behavioral Health Providers (LBHP’s)  Allopathic or Osteopathic Physicians with a current license and board certification in psychiatry or a current resident  Practitioners with license to practice:  (A) Psychologist,  (B) Social Worker (clinical specialty only),  (C) Professional Counselor,  (D) Marriage and Family Therapist,  (E) Behavioral Practitioner, or  (F) Alcohol and Drug Counselor.

  14. BEHAVIORAL HEALTH RULES  A.P.N. – certification in psych. mental health  P.A. with specialized mental health training  Practitioners who have completed education requirements to begin an internship or a post- doctoral fellowship in an accredited clinical academic training program *  L.B.H.P. candidates* *with special requirements

  15. WHAT REQUIRES A SIGNATURE?  Assessments and progress notes must be signed by the practitioner providing the service.  Service plans must be signed by the member (if over age 14), by the parent or guardian if under 18, and by the primary LBHP.

  16. HOW DO I GET HERE?

  17.  THIS IS HOW!   Behavioral Health Revenue Code : 513  OHCA Provider Letter 2006-08  Billing should be done under this revenue code, not procedure codes.

  18. QUESTIONS/COMMENTS/POINTS OF CONCERN?

Download Presentation
Download Policy: The content available on the website is offered to you 'AS IS' for your personal information and use only. It cannot be commercialized, licensed, or distributed on other websites without prior consent from the author. To download a presentation, simply click this link. If you encounter any difficulties during the download process, it's possible that the publisher has removed the file from their server.

Recommend

SoonerCare SoonerCare Case Management Policy Case Management Policy Who is the contact? Who is

SoonerCare SoonerCare Case Management Policy Case Management Policy Who is the contact? Who is

SoonerCare SoonerCare Case Management Policy Case Management Policy Who is the contact? Who is the contact? OHCA Provider Helpline for Prior Authorization* Cl i Claims and Billing d Billi (800)522-0114 Option 2,3 Call or email if you

429 views • 40 slides
Objectives Objectives Objectives Objectives Learning Learning Learning Learning

Objectives Objectives Objectives Objectives Learning Learning Learning Learning

11/14/2016 Is Starting a Nonprofit Right for You? Objectives Objectives Objectives Objectives Learning Learning Learning Learning Understand what a Nonprofit Organization is and the Objectives Objectives Objectives Objectives

382 views • 11 slides
SOONERCARE Health Homes A strategy to build a system of care to improve health, enhance access

SOONERCARE Health Homes A strategy to build a system of care to improve health, enhance access

SOONERCARE Health Homes A strategy to build a system of care to improve health, enhance access and quality and control costs for members with SMI or SED What Is A Health Home? A place where individuals can come throughout their lifetimes

192 views • 17 slides
Trigeminal Autonomic Cephalalgias Learning Objectives Learning Objectives At the conclusion

Trigeminal Autonomic Cephalalgias Learning Objectives Learning Objectives At the conclusion

Steven Graff-Radford, DDS Co-Director, the Pain Center Cedars-Sinai Medical Center Clinical Professor USC School of Dentistry Los Angeles, CA Trigeminal Autonomic Cephalalgias Learning Objectives Learning Objectives At the conclusion

373 views • 23 slides
E-Learning Day 7 March 2019 To promote self-directed Objectives learning using ICT To ensure

E-Learning Day 7 March 2019 To promote self-directed Objectives learning using ICT To ensure

E-Learning Day 7 March 2019 To promote self-directed Objectives learning using ICT To ensure continuity of learning in the event of unscheduled school closure SLS website Student Learning Space Select the URL below to (SLS) access

458 views • 23 slides
Learning Objectives At the end of the class you should be able to: derive Bayesian learning from

Learning Objectives At the end of the class you should be able to: derive Bayesian learning from

Learning Objectives At the end of the class you should be able to: derive Bayesian learning from first principles explain how the Beta and Dirichlet distributions are used for Bayesian learning. D. Poole and A. Mackworth 2019 c Artificial

272 views • 16 slides
Learning Objectives At the end of the class you should be able to: identify a supervised learning

Learning Objectives At the end of the class you should be able to: identify a supervised learning

Learning Objectives At the end of the class you should be able to: identify a supervised learning problem characterize how the prediction is a function of the error measure avoid mixing the training and test sets D. Poole and A. Mackworth

491 views • 37 slides
Knowing Your Sons Learning Style Objectives Know your son Strengths and Weaknesses in

Knowing Your Sons Learning Style Objectives Know your son Strengths and Weaknesses in

Knowing Your Sons Learning Style Objectives Know your son Strengths and Weaknesses in learning. Understand your children's learning needs Identify reasons for underachievement Student/teacher interaction improvement Aware that Learning

204 views • 18 slides
10601 Learning Objectives Course Level Learning Outcomes 1. Course Level a. Implement and

10601 Learning Objectives Course Level Learning Outcomes 1. Course Level a. Implement and

10601 Learning Objectives Course Level Learning Outcomes 1. Course Level a. Implement and analyze existing learning algorithms, including well-studied methods for classification, regression, structured prediction, clustering, and

88 views • 7 slides
PVMD Delft University of Technology Learning objectives Improved light calibration Learning

PVMD Delft University of Technology Learning objectives Improved light calibration Learning

External Quantum Efficiency Ren van Swaaij PVMD Delft University of Technology Learning objectives Improved light calibration Learning objectives Improved light calibration Bias illumination and bias voltage Learning objectives

321 views • 28 slides
Use of IT in own tasks and business and how it is learnt Learning objectives Identify

Use of IT in own tasks and business and how it is learnt Learning objectives Identify

INF 3280, 29 Jan 2020 Use of IT in own tasks and business and how it is learnt Learning objectives Identify the activities in which the application for your Assignments 3-4 will be used Determine learning objectives for use of

351 views • 6 slides
A.I.S. Class 5: Outline I Learning Objectives for Chapter 2 I Elements of Information Systems I

A.I.S. Class 5: Outline I Learning Objectives for Chapter 2 I Elements of Information Systems I

A.I.S. Class 5: Outline I Learning Objectives for Chapter 2 I Elements of Information Systems I Discussion Questions and Problems I Automated Procedures for Sales and Collections Dr. Peter R Gillett September 20, 2000 1 Learning Objectives for

267 views • 15 slides
1 2 These are our learning objectives for the session. - this is an Information Sharing session

1 2 These are our learning objectives for the session. - this is an Information Sharing session

1 2 These are our learning objectives for the session. - this is an Information Sharing session and not a HOW TO 3 To meet the learning objectives, here are the topics we will cover in the session today: Overview of Research Projects will

1.09k views • 70 slides
Standards for Professional Learning Standards for Professional Learning Learning objectives

Standards for Professional Learning Standards for Professional Learning Learning objectives

Introduction to the Standards for Professional Learning Standards for Professional Learning Learning objectives Learners will be able to Explain the purpose of the Standards for Professional Learning. Identify the implications of

347 views • 15 slides
Objectives To encourage on-line independent learning as well as ensure learning can still

Objectives To encourage on-line independent learning as well as ensure learning can still

Objectives To encourage on-line independent learning as well as ensure learning can still continue at home in the event of any school closure for whatever reason in the future. Details Date: 7 March 2017 (Tuesday) Venue: @Home

425 views • 14 slides
Learning skills with Instructions Learning objectives 1. Distinguish IT skills from other IT

Learning skills with Instructions Learning objectives 1. Distinguish IT skills from other IT

INF3280 22 Jan 2019 Learning skills with Instructions Learning objectives 1. Distinguish IT skills from other IT competence 2. Characterize how skills are learnt 3. Identify qualities of Instructions for skill learning 4. Being able to

369 views • 16 slides
INTERNATIONAL ELECTIVES AT LOYOLA: What You Need to Know Wednesday, April 19th 3:30 PM, SSOM

INTERNATIONAL ELECTIVES AT LOYOLA: What You Need to Know Wednesday, April 19th 3:30 PM, SSOM

INTERNATIONAL ELECTIVES AT LOYOLA: What You Need to Know Wednesday, April 19th 3:30 PM, SSOM Tobin Hall Introduction Loyola Internal Electives and Individually designed electives both qualify for INTRAMURAL credit Sites

782 views • 25 slides
Prof. K. C. Prof. K. C. Sin Singhal hal M.D., Ph.D. (Medicine), D.Sc., F.I.A.N., F.I.P.S.,

Prof. K. C. Prof. K. C. Sin Singhal hal M.D., Ph.D. (Medicine), D.Sc., F.I.A.N., F.I.P.S.,

Prof. K. C. Prof. K. C. Sin Singhal hal M.D., Ph.D. (Medicine), D.Sc., F.I.A.N., F.I.P.S., F.I.A.M.S. Consultant WHO Center for International Drug Monitoring, Uppsala, Sweden Vice - Chancellor, Vice - Chan cellor, NIMS Un NIMS

732 views • 33 slides
Prehealth Considering a Health Career? Prehealth advisors work with you to design a plan

Prehealth Considering a Health Career? Prehealth advisors work with you to design a plan

Prehealth Considering a Health Career? Prehealth advisors work with you to design a plan that combines your career aspirations, undergraduate pursuits, and personal strengths so that you can put forward your best application to a program

183 views • 16 slides
NRMP Update NRMP Update Mona M. Signer President and CEO AAMC Annual Meeting November 5, 2017

NRMP Update NRMP Update Mona M. Signer President and CEO AAMC Annual Meeting November 5, 2017

NRMP Update NRMP Update Mona M. Signer President and CEO AAMC Annual Meeting November 5, 2017 Reproduction prohibited without the written permission of the NRMP. Todays Topics Main Residency Match Trends Policy Update New

1.09k views • 39 slides
Taos Alive Improving a Community in Pain By Julie Martinez CPS About Taos County About Taos

Taos Alive Improving a Community in Pain By Julie Martinez CPS About Taos County About Taos

Taos Alive Improving a Community in Pain By Julie Martinez CPS About Taos County About Taos Alive Community Based Coalition 12 Sectors (Youth, Parents, Business, Media, Schools, Youth Serving Organizations, Law Enforcement Agencies,

547 views • 22 slides
NIHB Conference Edward T. Bope MD, FAAFP Director of GME Expansion Office of Academic

NIHB Conference Edward T. Bope MD, FAAFP Director of GME Expansion Office of Academic

VA Education Mission NIHB Conference Edward T. Bope MD, FAAFP Director of GME Expansion Office of Academic Affiliations Veterans Health Administration What is the VHA Mission? Honor Americas Veterans by providing exceptional health

512 views • 26 slides
Investor Presentation November 2017 Contents Ayurveda Science of Life Dabur Overview

Investor Presentation November 2017 Contents Ayurveda Science of Life Dabur Overview

Investor Presentation November 2017 Contents Ayurveda Science of Life Dabur Overview Business Structure India Business International Business The next growth wave Annexure 2 Ayurveda Science of Life What is Ayurveda? Salient

699 views • 42 slides
The Muslim Dimension of Health Research Aasim I. Padela MD MSc OVERVIEW Present a

The Muslim Dimension of Health Research Aasim I. Padela MD MSc OVERVIEW Present a

The Muslim Dimension of Health Research Aasim I. Padela MD MSc OVERVIEW Present a sociocultural frameworks for understanding health behaviors and outcomes Kleinmans Cultural Construction of Clinical Reality Islamic

485 views • 44 slides

More recommend