Individual Counseling 86C $67.15 $93.88 – Individual Home Based Counseling-Individual 88K $93.88 – Family Counseling 86F $55.95 $78.22 – Family Home Based Counseling-Family 88K $78.22 – Group Counseling 86E $16.46 $23.01 – Court Testimony 86H – Court Related Services Deposition 86H $63.82 – Mediation 86H – Diagnostic Consultation Diagnostic Consultation 81H $63.82 – Translator/Interpreter Cost Reimbursement-Requires Contract Service Code 98L Services Manager prior authorization Additional reimbursement for services provided in CPS DESIGNATED UNDERSERVED COUNTIES: Missed Appointments: Refer to Section 2.13.1 Travel: Refer to Section 2.13.3 fORM R - Attachment A-2 D –table Attachment A-2 D –table FEE SCHEDULE EVALUATION AND TREATMENT SERVICES – BATTERING INTERVENTION PREVENTION PROGRAM (BIPP) Payment is on of service." The allowable unit rate is based on information in the Unit Rate “unit column in the table below. The identified BIPP provider types must maintain accreditation through TDCJ-CJAD. LMSW, LCSW, LMFT & LPC or a TDCJ-CJAD funded BIPP Location & Unit Rate Category Service - Service Code In Office Out-of-Office Domestic Violence Domestic Violence Assessment Report – Assessment Report $75.00 86K 1 unit = 1 assessment Group Orientation and Battering Intervention $16.46 $23.01 1 unit = 1 hour sessions are 2 Prevention Program (BIPP) 86L (2 units = $32.92) (2 units = $46.02) – long (2 units) Testimony 86H – Court Related Services Deposition 86H $63.82 – Mediation 86H – Diagnostic Consultation Diagnostic Consultation 81H $63.82 –
Individual Individual Counseling – 86C $67.15 $93.88 Home Based Counseling-Individual – 88K $93.88 Family Family Counseling – 86F $55.95 $78.22 Home Based Counseling-Family – 88K $78.22 Group Counseling – 86E $16.46 $23.01 Court Related Services Court Testimony – 86H Deposition – 86H Mediation – 86H $63.82 Diagnostic Consultation Diagnostic Consultation – 81H $63.82 Translator/Interpreter Services Service Code 98L Cost Reimbursement-Requires Contract Manager prior authorization Additional reimbursement for services provided in CPS DESIGNATED UNDERSERVED COUNTIES: Missed Appointments: Refer to Section 2.13.1 Travel: Refer to Section 2.13.3 fORM R - Attachment A-2 –table D Attachment A-2 –table D FEE SCHEDULE – EVALUATION AND TREATMENT SERVICES BATTERING INTERVENTION PREVENTION PROGRAM (BIPP) Payment is on “unit of service." The allowable unit rate is based on information in the Unit Rate column in the table below. The identified BIPP provider types must maintain accreditation through TDCJ-CJAD. LMSW, LCSW, LMFT & LPC or a TDCJ-CJAD funded BIPP Category Service - Service Code Location & Unit Rate In Office Out-of-Office Domestic Violence Assessment Report 1 unit = 1 assessment Domestic Violence Assessment Report – 86K $75.00 Group 1 unit = 1 hour sessions are 2 long (2 units) Orientation and Battering Intervention Prevention Program (BIPP) – 86L $16.46 (2 units = $32.92) $23.01 (2 units = $46.02) Court Related Services Testimony – 86H Deposition – 86H Mediation – 86H $63.82 Diagnostic Consultation Diagnostic Consultation – 81H $63.82
Application-Additional-Documents.docx