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FQHC providers must bill using the encounter code (T1015 ...

connecticut Behavioral Health PartnershipAuthorization ScheduleFQHC - Mental Health ClinicsFQHC providers must bill using the encounter code (T1015) and at least one of the procedure codes from the table below to indicate which service was provided during the encounter . A face-to-face encounter with the client or parent/guardian is required to qualify a service for Service ClassEDS Payable ServiceSVC/REVENUE CODEDESCRIPTIONAuth Req'd ?Re-Auth?Auth/Reg Eff DateINTERMEDIATE PROGRAMSP artial Hospitalization- ClinicCPHPCYH2013, 90801 Partial Hospitalization, 1 DayAA9/1/2006 Intensive Outpatient - ClinicCIOPCYH0015, S9480, 90801 Intensive Outpatient - MH/SAAA9/1/2006 Extended Day Treatment - ClinicCEDTCYH2012, 90801 Extended Day Treatment AA9/1/2006 OUTPATIENT SERVICESO utpatient- ClinicCOTPCY90801 Initial Psychiatric Interview ExaminationR (26/12)R/A9/1/200690802 Interactive Psych Diagnostic Interview/Exam90804 Individual Therapy - 20-30 Minutes90805 Ind.

Connecticut Behavioral Health Partnership Authorization Schedule FQHC - Mental Health Clinics FQHC providers must bill using the encounter code (T1015) and at least one of the procedure codes from the table below to indicate

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