TARGETED CASE MANAGEMENT FOR PERSONS ... - …

Service

TARGETED CASE MANAGEMENT FOR PERSONS WITH MENTAL ILLNESS

PAYMENT RATES

EFFECTIVE 09/01/11

TAFI

TMHP

Service Procedure

Code

Code Modifier1 Modifier2 Rate

Effective

Unit

Date

TCM - Routine case

management (adult) 16-B T1017

TF

$19.83 15 Min. 9/1/2011

TCM - Routine case management (child and adolescent)

TCM - Intense case management (adult and adolescent)

16-C 16-D

T1017 T1017

TF

HA $24.07 15 Min. 9/1/2011

TG

HA $31.69 15 Min. 9/1/2011

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