PROC. DESCRIPTION MAXIMUM MAXIMUM MAXIMUM CODE * See Below ALLOWANCE ALLOWANCE ALLOWANCE EFFECTIVE EFFECTIVE EFFECTIVE 7/1/16 to 7/31/18* 8/1/18 to 6/30/19** 7/1/19** Substance Abuse TREATMENT FACILITIES H0010 Detoxification (Non Hospital based) $212.96 per diem $217.88 per diem $217.48 per diem Halfway Services $103.89 per diem $106.30 per diem $106.09 per diem Extended Care $114.46 per diem $117.11 per diem $116.89 per diem H2036 Residential Rehabilitation Type 1 $219.78 per diem $224.87 per diem $224.44 per diem H2036 HF Residential Rehabilitation Type II $117.17 per diem $119.87 per diem $119.65 per diem H2034 HF H2036 HA Adolescent Residential Rehabilitation $183.77 per diem $188.02 per diem $187.67 per diem Personal Care - Substance Abuse T1020 HF $55.69 per diem $56.97 per diem $56.87 per diem (Substance Abuse Shelter Services) * Room and Board costs are not reimbursed in the rates for PNMI Substance Abuse Treatment Service is seeking and anticipates receiving approval from CMS for this Section. Pending the increased are effective retroactive to July 1, 2016 (for * rates, above) 1, 2018 (for rates **, above) for Appendix B, C, and E PNMIs.
PROC. CODE DESCRIPTION * See Below MAXIMUM ALLOWANCE EFFECTIVE 7/1/16 to 7/31/18* MAXIMUM ALLOWANCE EFFECTIVE 8/1/18 to 6/30/19** MAXIMUM ALLOWANCE EFFECTIVE 7/1/19** Substance Abuse TREATMENT FACILITIES H0010 Detoxification (Non Hospital based) $212.96 per diem $217.88 per diem $217.48 per diem Halfway Services $103.89 per diem $106.30 per diem $106.09 per diem H2036 Extended Care $114.46 per diem $117.11 per diem $116.89 per diem H2036 HF Residential Rehabilitation Type 1 $219.78 per diem $224.87 per diem $224.44 per diem H2034 HF Residential Rehabilitation Type II $117.17 per diem $119.87 per diem $119.65 per diem H2036 HA Adolescent Residential Rehabilitation $183.77 per diem $188.02 per diem $187.67 per diem T1020 HF Personal Care - Substance Abuse (Substance Abuse Shelter Services) $55.69 per diem $56.97 per diem $56.87 per diem * Room and Board costs are not reimbursed in the rates for PNMI Substance Abuse Treatment Service is seeking and anticipates receiving approval from CMS for this Section. Pending the increased are effective retroactive to July 1, 2016 (for * rates, above) 1, 2018 (for rates **, above) for Appendix B, C, and E PNMIs.