School Social Work Tip Sheet

02/04/11 Social Worker Tip Sheet Service Type Procedure Start/End Medical Areas Code Time MET/Eval (Initial and 3-Year Redetermination) – Includes meetings, reports, and evals – Date of service is date of determination of eligibility (IEP Mtg.) One log represents all the work done for the evaluation.  MET/Eval – Mental Health Assessment: A professional , clinical evaluation of the student’s overall mental health functioning H0031HT No Yes  MET/Eval – Developmental Testing; Limited: Developmental Screening Test II, Early Language Milestone Screen 96110HT No Yes  MET/Eval – Developmental Testing; Extended: Includes assessment of motor, language, social, adaptive and/or cognitive 96111HT No Yes functioning by standardized developmental instruments IEP (Annual and Initial) One log represents all the work done for the IEP  Includes meetings, reports, and evals H0031TM No Yes  Date of service is date of IEP Mtg. Tests/Assessments not related to MET or IEP - Do not select this, if testing is part of IEP or MET - Date of service is date test is completed  Non – MET/Eval – Mental Health Assessment H0031 No Yes  Non – MET/Eval – Developmental Testing; Limited 96110 No Yes  Non – MET/Eval – Developmental Testing; Extended 96111 No Yes Individual Psychotherapy, Insight-oriented (20-30min)  Behavior modifying and/or supportive, in an office or outpatient 90804 Yes Yes facility, face-to-face w/patient Individual Psychotherapy, Insight-oriented (45-50min)  Behavior modifying and/or supportive, in an office or outpatient 90806 Yes Yes facility, face-to-face w/patient Individual Psychotherapy, Interactive (20-30min)  Using play equipment, physical devices, language interpreter, or Yes Yes other mechanisms for nonverbal communication, in an office or 90810 outpatient facility, face-to-face w/patient Individual Psychotherapy, Interactive (45-50min)  Using play equipment, physical devices, language interpreter, or 90812 Yes Yes other mechanisms for nonverbal communication, in an office or outpatient facility, face-to-face w/patient Family Psychotherapy without Patient  Conjoint Psychotherapy 90846 No Yes Family Psychotherapy with Patient  Conjoint Psychotherapy 90847 No Yes Group Psychotherapy  Other than of a multiple-family group 90853 No Yes Behavioral Health Counseling H0004 Yes Yes Crisis Intervention S9484 Yes Yes Monthly Progress Note - No No Student Absent - No No Student Unavailable - No No Provider Absent - No No Provider Unavailable - No No Nonbillable Entry - No No

Medical Areas  Testing/Evaluation  IEP Development/Review  Crisis  Psychotherapy  Counseling

GENERAL INFORMATION

Consultation or consultative services are an integral part or an extension of a direct medical service and are not separately reimbursable.

Monthly progress notes:  The Monthly Summary is a separate log that needs to be logged every month each time the following services are logged: Psychotherapy, Group Psychotherapy, Behavioral Health Counseling/Therapy, Family Psychotherapy, & Crisis Intervention.  Must include evaluation of progress, changes in medical or mental status, and changes in treatment with rationale for change  Must be dated in the month the services were provided (i.e. a monthly progress note for services provided in September must be dated in September) – using the last school day of the month is recommended

Crisis Intervention Services are unscheduled activities performed for the purpose of resolving an immediate crisis situation  Activities include crisis response, assessment, referral and direct therapy  Crisis Intervention Service is not listed in the student’s IEP/IFSP treatment plan  Service is billed per hour – if less than one hour, the service is not billable

All student information contained in Illuminate Ed is private and confidential:  Do not share your username and password with anyone  Do not write your password down where it can be seen by others  Always log off when finished using the system