- BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Schizophrenia Value Set - ED Value Set with Schizophrenia Value Set - BH ED Value Set with ED POS Value Set and Schizophrenia Value Set - BH Stand Alone Nonacute Inpatient Value Set with Schizophrenia Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Schizophrenia Value Set - At least two visits in an outpatient, intensive outpatient, partial hospitalization, ED, or nonacute inpatient setting, on different dates of service, with any diagnosis of bipolar disorder. Any two of the following code combinations meet criteria: - BH Stand Alone Outpatient/PH/IOP Value Set with Bipolar Disorder Value Set - BH Stand Alone Outpatient/PH/IOP Value Set with Other Bipolar Disorder Value Set - BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Bipolar Disorder Value Set - BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Other Bipolar Disorder Value Set - ED Value Set with Bipolar Disorder Value Set - ED Value Set with Other Bipolar Disorder Value Set - BH ED Value Set with ED POS Value Set and Bipolar Disorder Value Set - BH ED Value Set with ED POS Value Set and Other Bipolar Disorder Value Set - BH Stand Alone Nonacute Inpatient Value Set with Bipolar Disorder Value Set - BH Stand Alone Nonacute Inpatient Value Set with Other Bipolar Disorder Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Bipolar Disorder Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Other Bipolar Disorder Value Set Abilify Abilify Discmelt Abilify Maintena Aripiprazole Aristada Chlorpromazine Hydrochloride Clozapine Clozaril Compazine Fanapt FazaClo Fluoxetine Hydrochloride-Olanzapine Fluphenazine Decanoate Fluphenazine Hydrochloride Geodon Haldol Decanoate Haloperidol Haloperidol Decanoate Haloperidol Lactate
- BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Schizophrenia Value Set - ED Value Set with Schizophrenia Value Set - BH ED Value Set with ED POS Value Set and Schizophrenia Value Set - BH Stand Alone Nonacute Inpatient Value Set with Schizophrenia Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Schizophrenia Value Set - At least two visits in an outpatient, intensive outpatient, partial hospitalization, ED, or nonacute inpatient setting, on different dates of service, with any diagnosis of bipolar disorder. Any two of the following code combinations meet criteria: - BH Stand Alone Outpatient/PH/IOP Value Set with Bipolar Disorder Value Set - BH Stand Alone Outpatient/PH/IOP Value Set with Other Bipolar Disorder Value Set - BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Bipolar Disorder Value Set - BH Outpatient/PH/IOP Value Set with BH Outpatient/PH/IOP POS Value Set and Other Bipolar Disorder Value Set - ED Value Set with Bipolar Disorder Value Set - ED Value Set with Other Bipolar Disorder Value Set - BH ED Value Set with ED POS Value Set and Bipolar Disorder Value Set - BH ED Value Set with ED POS Value Set and Other Bipolar Disorder Value Set - BH Stand Alone Nonacute Inpatient Value Set with Bipolar Disorder Value Set - BH Stand Alone Nonacute Inpatient Value Set with Other Bipolar Disorder Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Bipolar Disorder Value Set - BH Nonacute Inpatient Value Set with BH Nonacute Inpatient POS Value Set and Other Bipolar Disorder Value Set Abilify Abilify Discmelt Abilify Maintena Aripiprazole Aristada Chlorpromazine Hydrochloride Clozapine Clozaril Compazine Fanapt FazaClo Fluoxetine Hydrochloride-Olanzapine Fluphenazine Decanoate Fluphenazine Hydrochloride Geodon Haldol Decanoate Haloperidol Haloperidol Decanoate Haloperidol Lactate
4.%20Cat%20C%20Measure%20Specifications%2020180420%20-%20CMHC%20v1.5.docx