Crisis Intervention
DRAFT
- Fees also available in Portable Document Format (PDF)
| Rate Code Description | Unit Type | Productivity Adjustment 1st 6 mos of Waiver Downstate Fee |
Productivity Adjustment Months 7–12 of Waiver Downstate Fee |
Year 2+ Downstate Fee |
Productivity Adjustment 7/1/18–12/31/18 Upstate Fee |
Productivity Adjustment 1/1/19–6/30/19 Upstate Fee |
Year 2+ Upstate Fee |
|---|---|---|---|---|---|---|---|
| Crisis Intervention Off–site/follow–up (1 Licensed practitioner) | per 15 minutes | $74.14 | $65.77 | $ 59.40 | $66.11 | $58.64 | $52.96 |
| Crisis Intervention Off–site/follow–up (1 licensed practitioner & 1 peer support) | per 15 minutes | $99.37 | $88.15 | $ 79.61 | $88.60 | $78.60 | $70.99 |
| Crisis Intervention Off–site/follow–up (2 licensed practitioners) | per 15 minutes | $148.28 | $131.54 | $ 118.80 | $132.21 | $117.28 | $105.93 |
| Crisis Intervention Off–site (90 – 180 minutes & 2 practitioners, one must be licensed) | per diem | n/a | n/a | $ 1,069.20 | $1,191.69 | $1,058.22 | $953.35 |
| Crisis Intervention Off–site – Per Diem Requires a minimum 3 hours of face–to–face contact by two clinicians (one must be licensed) | per diem | n/a | n/a | $ 1,425.60 | $1,588.92 | $1,410.96 | $1,271.13 |
*Note: In acknowledgement of the need for checks against fraud and abuse, but to ensure a client´s access to services, service utilization in excess of the annual claim limits and "soft" unit limits will be based on medical necessity and subject to post–payment review. Documentation of the medical necessity for extended durations must be kept on file in the client´s record.
**Hourly procedure code for partial day per diem (90 – 180 minutes) as used in clinic billing
