APGs

Non-50% Discounting APG List

Revised for July 1, 2012 Updates:

Information revised since the last update is highlighted.

Note: This list was first implemented in April 2010, retroactive to January 2010.

APG APG Description Discount
Percent
if not 50%		 Notes
118 NUTRITION THERAPY 25% Effective 1-1-10
257 AUDIOMETRY 25% Effective 1-1-10
270 OCCUPATIONAL THERAPY 25% Effective 1-1-10
271 PHYSICAL THERAPY 25% Effective 1-1-10
272 SPEECH THERAPY AND EVALUATION 25% Effective 1-1-10
274 PHYSICAL THERAPY, GROUP 25% Effective 1-1-10
275 SPEECH THERAPY & EVALUATION, GROUP 25% Effective 1-1-10
310 DEVELOPMENTAL & NEUROPSYCHOLOGICAL TESTING 10% Effective 1-1-10
312 FULL DAY PARTIAL HOSPITALIZATION FOR MENTAL ILLNESS 10% Effective 1-1-10
315 COUNSELLING OR INDIVIDUAL BRIEF PSYCHOTHERAPY 10% Effective 1-1-10
316 INDIVIDUAL COMPREHENSIVE PSYCHOTHERAPY 10% Effective 1-1-10
317 FAMILY PSYCHOTHERAPY 10% Effective 1-1-10
318 GROUP PSYCHOTHERAPY 10% Effective 1-1-10
320 CASE MANAGEMENT & TREATMENT PLAN DEVELOPMENT - MH/SA 10% Effective 1-1-10
321 CRISIS INTERVENTION 10% Effective 1-1-10
322 MEDICATION ADMINISTRATION & OBSERVATION 0% Changed from 10% to 0% for July 2010. Changed from 0% to 50% for October 2011. Changed from 50% to 0% for July 2012.
323 MENTAL HYGIENE ASSESSMENT 10% Effective 1-1-10
324 MENTAL HEALTH SCREENING & BRIEF ASSESSMENT 10% Changed from 0% to 25% Jan 1, 2012. Changed from 25% to 10% July 1, 2012
350 LEVEL I ADJUNCTIVE GENERAL DENTAL SERVICES 25% Effective 7-1-11
351 LEVEL II ADJUNCTIVE GENERAL DENTAL SERVICES 25% Effective 7-1-11
352 PERIODONTICS 25% Effective 7-1-11
353 LEVEL I PROSTHODONTICS, FIXED 25% Effective 7-1-11
354 LEVEL II PROSTHODONTICS, FIXED 25% Effective 7-1-11
355 LEVEL III PROSTHODONTICS, FIXED 25% Effective 7-1-11
356 LEVEL I PROSTHODONTICS, REMOVABLE 25% Effective 7-1-11
357 LEVEL II PROSTHODONTICS, REMOVABLE 25% Effective 7-1-11
358 LEVEL III PROSTHODONTICS, REMOVABLE 25% Effective 7-1-11
359 LEVEL I MAXILLOFACIAL PROSTHETICS 25% Effective 7-1-11
360 LEVEL II MAXILLOFACIAL PROSTHETICS 25% Effective 7-1-11
361 LEVEL I DENTAL RESTORATIONS 25% Effective 7-1-11
362 LEVEL II DENTAL RESTORATIONS 25% Effective 7-1-11
363 LEVEL III DENTAL RESTORATION 25% Effective 7-1-11
364 LEVEL I ENDODONTICS 25% Effective 7-1-11
365 LEVEL II ENDODONTICS 25% Effective 7-1-11
366 LEVEL III ENDODONTICS 25% Effective 7-1-11
367 LEVEL I ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7-1-11
368 LEVEL II ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7-1-11
369 LEVEL III ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7-1-11
370 LEVEL IV ORAL AND MAXILLOFACIAL SURGERY 25% Effective 7-1-11
372 SEALANT 25% Effective 7-1-11
373 LEVEL I DENTAL FILM 25% Effective 10-1-11
374 LEVEL II DENTAL FILM 25% Effective 10-1-11
377 PREVENTIVE DENTAL PROCEDURES 10% Effective 10-1-11