Housing related supports/supplemental hypoallergenic 21 0 $100 1x credit $100 1x credit adaptive device or bedding yrs equipment In lieu of Community Behavioral 21 Self-Help/Peer 0 Psychosocial Health yrs Rehabilitation As needed to divert hospitalization, 21 emergency Mobile Crisis Crisis Intervention S9485; H2011 0 yrs room visits, or prevent placement As outlined in healthy community health plan Healthy Behavior 21 reward 0 literature Reward Program yrs program submitted in ITN Professional consultation between primary care provider Limited to 2 21 and specialist or case consultation 99367 or 99368 0 per year for yrs medical team team conference without patient/family present
Housing related supports/supplemental adaptive device or equipment hypoallergenic bedding 0 21 yrs $100 1x credit $100 1x credit Community Behavioral Health Self-Help/Peer 0 21 yrs In lieu of Psychosocial Rehabilitation Mobile Crisis Crisis Intervention S9485; H2011 0 21 yrs As needed to divert hospitalization, emergency room visits, or prevent placement Healthy Behavior Reward Program healthy community reward program 0 21 yrs As outlined in health plan literature submitted in ITN Professional consultation between primary care provider and specialist or medical team conference without patient/family present case consultation 99367 or 99368 0 21 yrs Limited to 2 per year for team
attachment-a-1-evaluation-criteria.docx