
<p>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</p><p>Medical Areas Testing/Evaluation IEP Development/Review Crisis Psychotherapy Counseling</p><p>GENERAL INFORMATION</p><p>Consultation or consultative services are an integral part or an extension of a direct medical service and are not separately reimbursable.</p><p>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</p><p>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</p><p>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</p>
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