Attachment A for Q&As

APG Rate Codes with the Capital Add–on for Article 28 D&TCs*

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FREESTANDING CLINICS
Rate Code Rate Type Clinic: Begin Dates:
1407 02 1407 ‐ D & T Clinic APG 9/1/09
1422 02 1422 ‐ D & T Clinic APG ‐ Episode 7/1/11
    MR/DD/TBI (see Clinic note above)  
1435 02 1435 ‐ D & T Clinic APG ‐ General Clinic (MR/DD/TBI) Patient 9/1/09
1425 02 1425 ‐ D & T Clinic APG ‐ General Clinic (MR/DD/TBI) Patient ‐ Episode 7/1/11
1495 02 1495 ‐ GENERAL CLINIC APG MR/DD‐EPISODE PYMNT (EDIT EXEMPT) ‐ Episode 7/1/11
1498 02 1498 ‐ GENERAL CLINIC APG MR/DD (EDIT EXEMPT) 9/1/09
    Integrated Services (Episodic & MR/DD/TBI Rates) ‐ Special Approval through DSRIP 3ai Waiver (good thru 3/31/2020  
1102 02 1102 ‐ DOH DTC APG Art 28 Integrated Svc (DSRIP) ‐ Episode 7/1/2016
1060 02 1060 ‐ DOH DTC APG Art 28 IS MR/DD/TBI (DSRIP) ‐ Episode 7/1/2016
1064 02 1064 ‐ DOH DTC APG ART 28 IS SCHOOL BASED HEALTH PROJECT (DSRIP) 7/1/2016
1597 02 1597 ‐ DOH DTC APG ART 28 INTEGR OUTPT SVC (IOS) ‐ Episode 7/1/2016
1003 02 1003 ‐ DOH DTC APG ART 28 INTSVC MR/DD/TBI (IOS) ‐ Episode 7/1/2016
    Dental:  
1428 02 1428 ‐ D & T Clinic APG ‐ Dental Clinic 9/1/09
1459 02 1459 ‐ D & T Clinic APG ‐ Dental Clinic ‐ Episode 7/1/11
    Renal:  
1438 02 1438 ‐ D & T Clinic APG ‐ Renal Clinic 9/1/09
1456 02 1456 ‐ D & T Clinic APG ‐ Renal Clinic ‐ Episode 7/1/11
    School‐Based Health Clinic (SBHC) Rates (Note: all SBHC's are eligible for flu vaccine rates, but not all are eligible for LCSW/LMSW rates ‐ see requirements below).  
1447 02 1447 ‐ D & T Clinic APG ‐ School Based Health 9/1/09
1453 02 1453 ‐ D & T Clinic APG ‐ School Based Health ‐ Episode 7/1/11
    Amb Surg:  
1408 02 1408 ‐ D & T Ambulatory Surgery APG 9/1/09

* As of December 2017