|
UNITED HEALTHCARE
<br />WASHINGT'ON MEDICAID AND WASHINGTON BENEFITPLANS FOR THE UNINSURED BEHAVIORAL HEALTH PROFBSIONAL REIMBURSEMENT SCHEDULE
<br />m F.mrly Group Psyrho[hrnpy
<br />0.2Of-
<br />36$s
<br />39,I4
<br />i1.16
<br />EG89
<br />9r18A9
<br />FrultipkFam.ly6roup PsyrM1ONmpy
<br />999(IP
<br />IV.66
<br />Jg,99
<br />18.g9
<br />tO.66
<br />9r1849
<br />MdIipk-F,mdy4ren Psy=hethm y
<br />L999IOP
<br />16s9
<br />id,l6
<br />+mdv W9u Psnhothtta v
<br />0.]OfIP
<br />4199
<br />41.99
<br />95.99
<br />9rlgg9
<br />TG
<br />Muliipkf+mdy4rw Psyrhuthm y
<br />RJfVW
<br />11.94
<br />41.93
<br />mdv6rnu Psvrhothm
<br />MUlnpkFamdy6roup
<br />'J9911P
<br />Al-9g
<br />4199
<br />11.0
<br />41.99
<br />eGAM
<br />I4
<br />PWahommpy
<br />949lup
<br />41.99
<br />dI.9a
<br />xgp
<br />Gr PryCmtNeraW lamer Than. Mu4dplsfamlN Greupl
<br />o-lO(IP
<br />I69;
<br />9r]g63
<br />Wlaho Than, Mumple-Fan4M Greupl
<br />-lop
<br />1T.;5
<br />99R6}
<br />Grout/ AYCNmNersWlaner Than. MUV4PIsfam4N Greupl
<br />J1999lm
<br />IG,]6
<br />]9A]
<br />]6,T5
<br />JOASI
<br />Psnhulkera W lomel Than, Muttlple-FamIN Greupl
<br />yggrVp
<br />]T;6
<br />l96
<br />rARs}
<br />!4
<br />Grwn PwcNofiemW lamer Than. IAUItlPISPentlN Geupl
<br />o- 11P
<br />.,I
<br />4 L
<br />gp,93
<br />e0153
<br />I4
<br />Wlomer Than, I.tuVNple-FamIN Geupl
<br />o-24rup
<br />40,lL
<br />ad 91
<br />94831
<br />TG
<br />Gr up PsyctmtlNmW 1d , TN+n n ,.pl. Fami Gmml
<br />Ek999/iP
<br />46,91
<br />d0.9L
<br />p-^l
<br />53
<br />p y Ih W139rhn TN+n, AyulM1pN-F-14 GmuPI
<br />99d/W
<br />eA.9l
<br />mgl
<br />4891
<br />d091
<br />99966
<br />NAxnsmth=+dr, Psy=Fi+bi=Vag lNempeuli Purposes
<br />P39fIP
<br />h9,91
<br />NelPrcd
<br />Nel Wid
<br />Not Preetl
<br />94869
<br />INrcoryntheus,P,h-lcP& rMm+le'etc Wmesm
<br />R£4laP
<br />9J.d1
<br />Nnl Ptketl
<br />Nor Prk.d
<br />fbt Prid
<br />65
<br />NartosM[hesis, I'M ulc N& Thera "Purposes
<br />i199g11P
<br />6961
<br />Nor Nked
<br />NetPrcetl
<br />No[Prn.d
<br />9oe69
<br />r Y refs, V< tart Q&IFq+pcu[k Porposn
<br />31-99grOP
<br />9f Ad
<br />Nol Prkd
<br />Not Pried
<br />Net Prkd
<br />P9961
<br />ThamPnui-rePdilne rrsnxtardal maCpin AitmJaduu Ircalnn¢ plvndue
<br />am)IP
<br />31A-6]
<br />Noc Neetl
<br />No[Prketl
<br />it&61
<br />6l
<br />firrspulk rcpefttivemmcraniaimagneus spmela[me tm,lmenl; q+�rine
<br />4M/4P
<br />Ll&6]
<br />Not Priced
<br />qurPrced
<br />MIT
<br />99g61
<br />Theaapee[ mpndlse lmm=ranVlm+grm[i=snmulamn treatm m; plan ;
<br />-99yIP
<br />yg6]
<br />NelPad
<br />Hot Pr
<br />ylgs]
<br />99861
<br />fimaPrutc mnr[rtise [ranssraniaEmadreu+spmulabn trentmenl; plan
<br />j1999lPO
<br />lent Pried
<br />fic3aprulirpc[h�sr rrsnar•aniaf magmdc stlmula[kn treaunml:rkl)`.eryand mmagmenl, persm4on
<br />0.mllp
<br />u733
<br />Nol Priced
<br />1l]33
<br />9986g
<br />fiempeutc mpe[itne rrsnsnaniaf magnetic spmulaleon ueapnenl;J-ln•ery,ed m+mgrmrnt prsnGon
<br />0.MFOP
<br />ul-
<br />Hot Pr
<br />9Op61
<br />Thmpeubt rcpef iw vamcranlafmagmUewmel,h��nnrmem:rtefieery and manaafinenl, perseslen
<br />ZJA99flp
<br />]1133
<br />Ift"..
<br />ilT)3
<br />d an managemem, per setlen
<br />.1-
<br />Hot PrkM
<br />}],}3
<br />9PE5
<br />TNEMPEIIIQ REPQQINE TRAN9GIRAN IALMA6xflkr 511MU IT— fTA59]r }REATMENT; 6 Q.ENr MOTOR'HRM-RE-
<br />%zwp
<br />211J, E9
<br />IIOIPrkM
<br />ddSsa
<br />NILIMAONETrsTIMUWTN]NfTh531 TREAT0.tENr: sUffiERVEHTMtl1PR rxREsxpVA6-
<br />a]OrgP
<br />Noc AkM
<br />°AE69
<br />TNEMPEIIIQ REPEfQI4ETMf15[AANIAIANGNErk:STIMVI0.1tOr1[1M5}TREA]MENi; 5Ng5EgVEMMOI NIppSN[JIR RE-
<br />Z1994fIP
<br />N13.66
<br />Net Arketl
<br />SpySg
<br />McGNI7CMMVIATR]HRM9l TREAFAtE[W;;N69EGVENT mN RE-
<br />MP)PA rami
<br />9991pP
<br />NorPied
<br />9OR19
<br />QacuaP no vvlsire TherlW{W/Monlwdngl; 9lnpNgeNure
<br />aZWIP
<br />59.52
<br />Not Paked
<br />No Pried
<br />+W IWfMeeiledepl; Sin 9rfwm
<br />a faP
<br />1-12
<br />Nm 0.�d
<br />Nel Paced
<br />Hat R'Rd
<br />998I8
<br />Qecuuenwls4e ThimW{wlmomwunRl, Sinpk Setrum
<br />Z1.9'191IP
<br />NOPcd
<br />Prcd
<br />euNNe ThemW{wfMenimdpgl; siapk;rktrre
<br />-tap
<br />1-12
<br />P Not rced
<br />Nor Pried
<br />lint P•iM
<br />94B89
<br />heP'�Anrt, PssrhiavR p,l:er
<br />R£9(IP
<br />61,39
<br />92.29
<br />Si 29
<br />42.29
<br />9PR69
<br />HePRepN. Ps%hiatrk Patknt
<br />]1A99/1P
<br />9L£9
<br />9139
<br />;J.19
<br />goggg
<br />r6
<br />Pscp. RepN. Ps%M1Ntdc Partle^r
<br />R£4AP
<br />I—
<br />m
<br />I1
<br />IG
<br />Rlhnors. Ps%hiatri Packnc
<br />U]O/W
<br />I
<br />91 ig
<br />9dCs9
<br />rG
<br />Pre0. RepN. Ps%hu'. Patknc
<br />L999/IP
<br />12..
<br />6J.29
<br />SJ.i9
<br />999/OP
<br />Sii9
<br />5}2g
<br />;3.]9
<br />9i.£9
<br />9L1a1
<br />levy=ss Co.rd'E95'2s`timark
<br />0.999MAlAP
<br />}+3.3
<br />xm Prien
<br />Nm P.kd
<br />ldg2
<br />913rH
<br />loea=rt Crnid-I9 i',uivm
<br />9MAlHP
<br />1 2
<br />lbe Pried
<br />N., Pried
<br />Mg,2
<br />lwl3o
<br />qr.anPmmutTe�u,g;omdea.w3lneemmullnna xP I, Prrw
<br />o-mrla
<br />13a
<br />ua
<br />ll,e
<br />lJ$
<br />96vg
<br />o-lppmmul }nlmCumdd, wlNbmrm+Nnn Nse mPe,w
<br />am/oP
<br />L3.s
<br />lie
<br />u,e
<br />13A
<br />9611e
<br />Dnvebpmenvl Term,,l3-W, WINN[Prn+llen& Repusl, PerW
<br />2k9991I1
<br />138
<br />l38
<br />J3$
<br />138
<br />u
<br />[knbpmmral TcslnC Vmitd. Wl ,re[aVon S 1epr4p
<br />21-W.P
<br />]3d
<br />l3e
<br />13,8
<br />]Sd
<br />p nul re C ml ,W/NI6R'ee+pan 3Repr4 Per Nr
<br />o-wp
<br />36.41
<br />I64]
<br />lGd]
<br />14AT
<br />96lle
<br />TG
<br />gndepmenral TeslnCNmiled, WlNmrprmarion&Peperl, PerW
<br />a2d/gP
<br />56.p1
<br />16.p]
<br />]6,9]
<br />Ikp]
<br />gslld
<br />TO
<br />Ge,ewpanedul r<uwg; umi[d, wlkmrpmlamn a xeprr, Peexr
<br />1 99s/IP
<br />Ib.m
<br />Ibm
<br />16,9]
<br />36,q]
<br />96L4
<br />TG
<br />p nMTr C nN, WlNkrpretapon CPeperl. t'ttm
<br />999fgP
<br />16➢]
<br />l69]
<br />16,9]
<br />IkO]
<br />li
<br />kn ylr<Irdles Pscncment ofrneandbr yeas molm, hawus, gn MeL smd, me ry ndfm
<br />uU.e lumUmufrymuM.'dycd
<br />PJAr10
<br />Fa.31
<br />T131
<br />NI,11
<br />]4,33
<br />2
<br />pcsybpmmrsl[nt adminisuatbn{indWing assesrmmc orfnearWfmr yossmomr, languege,eerlitme tni ,taw{, mcmpryandlor
<br />nerve M1mrVo^s bl suMardketl
<br />0241OP
<br />RI.BT
<br />TPg]
<br />iq_R]
<br />]66T
<br />96L£
<br />Untl�pmnullal+mtdrti.tr.di�nlir•:{udir+p>a..rrcnt of Gm aml'ur nonmdrn.lape¢4 srmNi.e inet wcul.t¢reun'mJ,d
<br />ne fuetim brsuMnrJ'¢ad
<br />i1999/IP
<br />TA31
<br />]V 3l
<br />]03F
<br />]¢31
<br />J611J
<br />Ibe 4rmrrmuHol+Jndn9raiunfism]udmu aseasrrnr[rd Ee. mu3 er Fonnmlur.lmewv_c wptddax lnej m:iel.rmrmryar&.0
<br />i='r ru.xiw. hJ'svud,rJv=S
<br />candopr�utlml
<br />999/gP
<br />13
<br />sum;rdd•vuunx'elud4r;t,rme.mmt of l'ou aml4r rassa4r�s.lnrtu+ysg:uputitx kssL wi.L rresmry+ndm
<br />nef i,'om brd.rdurd'nni
<br />amflp
<br />;.36
<br />13.34
<br />33.36
<br />3x 36
<br />P+sd+pm-n41rW+dmiruslr+lian rin:ledin¢oansmmt ol'�e ad r.rF'+samin+,lamnpe, mpiiti.e tnd,armi4 trarnay,n&.a
<br />�v++ne Fawtimn 6y.nmEsnlvel
<br />OZOIOP
<br />39.3E
<br />36.J£
<br />36.32
<br />31.3E
<br />961]3
<br />Oeulopmm[al tnr Mmm,dr,alo� li�shties+ssessmmr of PneanJJerggs mates.language, mpllire le.el, srcNL memory uMln
<br />wse l�netlms Nv se+rd,.d;rd
<br />11-999IIP
<br />3Z,26
<br />3L26
<br />32.16
<br />3£.34
<br />961J3
<br />mulsm mlin lu g smear el weanN9rgrnsma w, Nn&oage,myrNrmlerd, ae+NLm ry rmlur
<br />arse lumemu bysv tlaaN�uetl a
<br />999faP
<br />3d]1
<br />3dJA
<br />343E
<br />36J2
<br />1}6
<br />tiro mPLn IeflNle}I^g,rcaw^Ng antl fud4men4leg,xmrtrd NwvakdM, nemm, g
<br />ry,P ng p 6km advhr3 ands e^ �
<br />a£%IP
<br />44,9;
<br />W.99
<br />Ibi Psid
<br />Nol Prkd
<br />96i1G
<br />aehde=iwsl.lm [.lirvwl zauamrnl of thiniNuArc ngmdiudemnSl+e ..uuieni i�nu Irt•dren kripepr,
<br />rmmrmY'. PNmsg and preFlrn w{siau_uxl •'
<br />RID30P
<br />sZ-lR
<br />SZ.]g
<br />Not P..
<br />Not NkeJ
<br />96}]6
<br />IleumhMavbml svaus exam IcSnkalasaermeM of [NleSinC rcasonng and Iudgrnen4l.S+cwlyd 6mw[rd, anention,4n;uage,
<br />emory.phonin4+ntl probkmsdmrC arrtiv
<br />9y2/IP
<br />4995
<br />dd.95
<br />Hof Priced
<br />NeE Pried
<br />6
<br />lavekds.sirm+lw 1=liroulaarmsrnn uYl6irlury ,r ng md3ndLmlrmi €cg-u 1Utuxto41 am'-,-pe
<br />mm�mr.. nhming aid l,mhlen suhw-node
<br />iL419/r]P
<br />52.]a
<br />6T]e
<br />xol Prks.F
<br />Ida[ Ne.d
<br />4316
<br />um as am lean aenmunenle}IFInUnC rcawnng+ntlfedgmeml,ley+smrirdhmvdedge, anmlim, tlnymage,
<br />ry,P enkg�gd ma4km anhR'4 arMv
<br />a,W,p
<br />90.]2
<br />W,Tt
<br />Ibc Rietl
<br />Hpt hketl
<br />96I16
<br />TG
<br />Ncm.4Mavwrslsrstus cpam EcGnkalaysessmenrof minLin&r.+aan6rg and jutlgment feg,+equirM1new y, 4nrnlbn, language,
<br />mory. planning and Prohkm wNn6 arAv
<br />0.201OP
<br />Rp.]_
<br />W.Sl
<br />Not Prietl
<br />Hoc mied
<br />96I16
<br />1G
<br />Nemoheharnralsvtus cram f[4nral a=snamenleftMnainC mamnng and pdOnm4leg.+cQUhdyrwwletlg, anmuon, Lartgu+ge,
<br />. l+nnin and rnhkmsehe. +•de
<br />21999r1P
<br />gO.22
<br />.] -
<br />fwr Prkd
<br />N4l heed
<br />96I16
<br />TG
<br />Ne mdheharmmisvtus e.amE=Nnealaasmunenteftknlind. reasonmg+ed/xdgmml.IP&+c9ukN Nnowledge, aaen4en, Nrsgo+se,
<br />I+� .and ro6km .aloe. a•d.
<br />21999lO9
<br />gp.R
<br />gp.32
<br />rpt Prkd
<br />Nor Freed
<br />
|