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Georgia Department of Behavioral Health & …

Georgia Department of Behavioral Health & Developmental Disabilities provider manual . FOR. community Behavioral . Health PROVIDERS. FOR. THE Department OF Behavioral Health &. DEVELOPMENTAL DISABILITIES. FISCAL YEAR 2019. Effective Date: July 1, 2018 (Posted: June 1, 2018). This FY 2019 provider manual is designed as an addendum to your contract/agreement with DBHDD to provide structure for supporting and serving individuals residing in the state of Georgia . DBHDD publishes its expectations, requirements and standards for community Behavioral Health providers via policies and the community Behavioral Health provider manual . The community Behavioral Health provider manual is updated quarterly throughout each state fiscal year and is posted one month prior to the effective date.

FY2019 – 1st Quarter Provider Manual for Community Behavioral Health Providers (July 1, 2018) Page 4 of 366 Adult Specialty Services AD Peer Support Program Psychosocial Rehabilitation – Program

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1 Georgia Department of Behavioral Health & Developmental Disabilities provider manual . FOR. community Behavioral . Health PROVIDERS. FOR. THE Department OF Behavioral Health &. DEVELOPMENTAL DISABILITIES. FISCAL YEAR 2019. Effective Date: July 1, 2018 (Posted: June 1, 2018). This FY 2019 provider manual is designed as an addendum to your contract/agreement with DBHDD to provide structure for supporting and serving individuals residing in the state of Georgia . DBHDD publishes its expectations, requirements and standards for community Behavioral Health providers via policies and the community Behavioral Health provider manual . The community Behavioral Health provider manual is updated quarterly throughout each state fiscal year and is posted one month prior to the effective date.

2 community Behavioral Health provider Manuals from previous fiscal years and quarters are archived on DBHDD's website at: FY2019 1st Quarter provider manual for community Behavioral Health Providers (July 1, 2018). Page 1 of 366. Department OF Behavioral Health & DEVELOPMENTAL DISABILITIES. FY 2019 community Behavioral Health provider manual . TABLE OF CONTENTS. When accessing this manual electronically, use your mouse to left click on the part or section you would like to access and you will be quickly linked to the corresponding page. If you see a red arrow ( ), please check the Summary of Changes Table for details. PART I - Eligibility, Service Definitions and Service Requirements Section I: Eligibility of Individuals Served Section II: Orientation to Services Authorization Options Section III: Service Definitions Section IV: Practitioner Detail Section V: Service Code Modifier Descriptions PART II - community Service Requirements for BH Providers Section I: Policies and Procedures Section II: Staffing Requirements Section III: Documentation Requirements PART III - General Policies and Procedures All policies are now posted in DBHDD PolicyStat located at PART IV - Appendices Appendix A: Glossary of Terms Appendix B: Valid Authorization Diagnoses Appendix C.

3 Valid Claims Diagnoses Appendix D: Certified Alcohol and Drug Counselor-Trainee Supervision Form FY2019 1st Quarter provider manual for community Behavioral Health Providers (July 1, 2018). Page 2 of 366. Department OF Behavioral Health & DEVELOPMENTAL DISABILITIES. FY 2019 community Behavioral Health provider manual . DETAILED TABLE OF CONTENTS. When accessing this manual electronically, use your mouse to left click on the part or section you would like to access and you will be quickly linked to the corresponding page. After using a hyperlink, return to the Detailed TOC by hitting the Alt+Left Arrow keys (Note: You must first use a hyperlink in the Detailed TOC to move to a section of the manual in order for Alt+Left Arrow keys to return you to the Detailed TOC).

4 TITLE PAGE. SUMMARY OF CHANGES TABLE. PART I - Eligibility, Service Definitions and Service Requirements Section I: Eligibility of Individuals Served Section II: Orientation to Services Authorization Options Section III: Service Definitions Child and Adolescent Non-Intensive Outpatient Services Behavioral Health Assessment Individual Counseling community support Interactive Complexity community Transition Planning Medication Administration Crisis Intervention Nursing Assessment and Health Services Diagnostic Assessment Pharmacy and Lab Family Outpatient Services Family Counseling Psychiatric Treatment Family Outpatient Services Family Training Psychological Testing Group Outpatient Services Group Counseling Service Plan Development Group Outpatient Services Group Training Child and Adolescent Specialty Services Clubhouse Services Parent Peer support - Individual community

5 Based Inpatient Psychiatric & Detox Structured Residential Supports Crisis Stabilization Unit Services Substance Abuse Intensive Outpatient Program Intensive Customized Care Coordination Youth Peer support Group Intensive Family Intervention Youth Peer support Individual Parent Peer support Group Adult Non-Intensive Outpatient Services Addictive Disease support Services Group Outpatient Services Group Training Behavioral Health Assessment Individual Counseling Behavioral Health Clinical Consultation Interactive Complexity Case Management Medication Administration community Transition Planning Nursing Assessment and Health Services Crisis Intervention Pharmacy and Lab Diagnostic Assessment Psychiatric Treatment Family Outpatient Services Family Counseling Psychological Testing Family Outpatient Services Family Training psychosocial Rehabilitation Individual Group Outpatient Services Group Counseling Service Plan Development FY2019 1st Quarter provider manual for community Behavioral Health Providers (July 1, 2018).

6 Page 3 of 366. Adult Specialty Services AD Peer support Program psychosocial Rehabilitation Program AD Peer support Services Individual Residential: community Residential Rehabilitation I. Ambulatory Substance Abuse Detoxification Residential: community Residential Rehabilitation II. Assertive community Treatment Residential: community Residential Rehabilitation III. community Based Inpatient Psychiatric & Detox Residential: community Residential Rehabilitation IV. community support Team Residential: Independent AD Residential Services community Transition Peer support Residential: Independent MH Residential Services Crisis Respite Apartments Residential: Intensive AD Residential Services Crisis Service Center Residential: Intensive MH Residential Services Crisis Stabilization Unit Services Residential: Semi-Independent AD Residential Services Housing Supplements Residential.

7 Semi-Independent MH Residential Services Housing Voucher Program Residential Substance Detoxification Intensive Case Management Substance Abuse Intensive Outpatient Program Medication Assisted Treatment Supported Employment MH Peer support Program Task Oriented Rehabilitation Services (TORS). MH Peer support Services Individual Temporary Observation Services Opioid Maintenance Treatment Treatment Court AD. Peer support , Wellness & Respite Center- Respite Treatment Court - MH. Peer support Wellness & Respite Center Daily Wellness Women's Tx & Recovery Services Outpatient Services Peer support Wellness and Respite Center Warm Line Women's Tx & Recovery Services Residential Tx Peer support Whole Health & Wellness - Group Women's Tx & Recovery Services Transitional Housing Peer support Whole Health & Wellness Individual Section IV: Practitioner Detail Service x Practitioner Table Section V: Service Code Modifier Descriptions PART II - community Service Requirements for BH Providers Section I: Policies and Procedures Section II: Staffing Requirements Approved BH Practitioners Table Section III.

8 Documentation Requirements PART III - General Policies and Procedures All policies are now posted in DBHDD PolicyStat located at PART IV - Appendices Appendix A: Glossary of Terms Appendix B: Valid Authorization Diagnoses Appendix C: Valid Claims Diagnoses Appendix D: Certified Alcohol and Drug Counselor-Trainee Supervision Form FY2019 1st Quarter provider manual for community Behavioral Health Providers (July 1, 2018). Page 4 of 366. SUMMARY OF CHANGES TABLE. UPDATED FOR JULY 1, 2018 EFFECTIVE DATE (POSTED JUNE 1, 2018). As a courtesy for Providers, this Summary of Changes is designed to guide the review of new and revised content contained in this updated version of the provider manual .

9 The responsibility for thorough review of the provider manual content remains with the provider . Item Topic Location Summary of Changes #. Added a new Detailed Table of Contents (TOC) following the original. It contains hyperlinks to all BH provider manual parts and major sub-parts, 1. Table of service definitions, tables, etc. After using a hyperlink, return to the Detailed Detailed Table of Contents Contents TOC by hitting the Alt+Left Arrow keys (Note: You must first use a hyperlink in the Detailed TOC to move to a section of the manual in order for Alt+Left Arrow keys to return you to the Detailed TOC). Service Exclusion section: Added language clarifying elements of SAIOP that 2.

10 SAIOP C&A and Adult Part I, Section III should not be ordered/provided separately except in certain clinical scenarios. 3. SAIOP C&A and Adult Part I, Section III. Billing & Reporting Requirements section: Clarified the service elements included in the SAIOP bundle.. 4. Billing & Reporting Requirements section: Added language clarifying unit SAIOP C&A and Adult Part I, Section III. rounding policy. 5. community Transition Peer support Part I, Section III In Service Exclusions section, added Item # 1 regarding CMO covered lives. 6. Corrected a typo in Required Components section, Item B: Changed youth . community Transition Planning (Adult) Part I, Section III. to individual.


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