Transcription of Uniform Service Coding Standards Manual - Colorado
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Uniform Service Coding Standards Manual - Colorado
April 2021. Uniform Service Coding Standards Manual Revised: March 31, 2021. Effective date: April 1, 2021. Table of Contents I. a. Purpose .. 6. b. Manual Format .. 7. II. Colorado CAPITATED BEHAVIORAL HEALTH BENEFIT UNDER THE ACCOUNTABLE CARE. COLLABORATIVE ..7. a. Medicaid State Plan Services .. 8. b. Behavioral Health Program 1915(b)(3) Waiver 9. c. Telemedicine Services ..11. III. DIAGNOSES .. 11. a. Non-Covered Diagnoses ..12. b. Covered Diagnoses ..12. i. Mental Health Covered Diagnoses .. 12. ii. Substance Use Disorder Covered Diagnoses .. 13. IV. PROVIDER TYPES .. 13. a. Individual Providers ..14. b. Facility/Group Providers ..20. V. PLACE OF Service (POS).. 20. VI. PROCEDURE CODE MODIFIERS .. 23. a. Colorado Community Behavioral Health Program/ Service Modifiers ..23. b. Common Behavioral Health Modifiers ..24. VII. PROCEDURE CATEGORIES .. 25. a. Prevention/Early Intervention Services ..25. i. Substance Use Prevention Services.
of care defined by the American Society of Addiction Medicine (ASAM). Services are provided to Medicaid beneficiaries with one or more diagnosed SUD(s). Services are determined according to medical necessity which include an assessment of level of clinical severity and function.
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