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Service Service Code(s) Duration: Frequency: Amount

Effective Date 1 Service Service Code(s) Description of Service Utilization Management Treatment Services Substance Abuse Assessment H0001 The assessment process provides an accurate diagnosis along with recommendations for follow-up or care. Recommendations may include addiction treatment or referrals to physical and mental health practitioners, family counselors, or other helping professionals. Completed Addiction Severity Index. *If a CADC-I completes the assessment it will not be counted completed until it has been reviewed and approved by the clinical supervisor.

Effective Date 2 *Twelve (12) Step Meetings or other Self-Help Meetings cannot be counted as billable Counseling Services. 2.1 Intensive Outpatient

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  Outpatient, Intensive, Intensive outpatient

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