Transcription of Ambulatory Patient Groups (APG) Clinical and Medicaid ...
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Ambulatory Patient Groups (APG) Clinical and Medicaid ...
1 OASAS Medicaid APG Clinical and Billing Manual January 2022 Ambulatory Patient Groups (APG) Clinical and Medicaid Billing Guidance JANUARY 2022 OASAS Certified Outpatient Programs 2 OASAS Medicaid APG Clinical and Billing Manual January 2022 Table of Contents Section One: Introduction .. 4 Section Two: Updates .. 4 .. 4 Claiming: .. 4 Intervention Services: .. 4 Clinical Updates .. 5 Plan Changes: .. 5 Health Screenings during Assessment: .. 5 Section Three: APG Definitions .. 6 Section Four Behavioral Health Service Categories: .. 9 Screening/Brief Intervention .. 9 Admission Assessment .. 10 Individual Counseling .. 11 Brief Treatment .. 12 Group Counseling .. 13 Family Services .. 14 Peer Support Services .. 16 Medication Administration and Observation .. 17 Medication Management .. 19 Addiction Medication Induction/Ancillary Withdrawal .. 20 Complex Care Coordination .. 22 Crisis Intervention .. 23 Smoking Cessation Services .. 24 Intensive Outpatient Service (IOS).
4 OASAS Medicaid APG Clinical and Billing Manual January 2022 Section One: Introduction . The Ambulatory Patient Group (APG) billing process was implemented in July 2011 as a first step in New York State’s overall effort to reform Medicaid reimbursement.
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