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UNITED HEALTHCARE
<br />WASHINGTON MEDICAID AND WASHINGTON BENEFIT PEANS FOR THE UNINSURED BEHAVIORAL HEALTH PROFESSIONAL REIMBURSEMENT SCHEDULE
<br />as
<br />99]Ss
<br />Nunbs FauliYduYarge ear 4Nnagemmt; JO VFm IXe
<br />0.1gnP
<br />63.5]
<br />No4 PrkN
<br />Mot wkN
<br />r191
<br />993I5
<br />Hunm; Paaiary AulurBe pat Nbnagumen4: 30 hkn de
<br />0.]&/OP
<br />a;53
<br />Net RRN
<br />Nat%kN
<br />el �]
<br />35
<br />g aedhty Js6iM1yt8e DaY Nkmacmrnl: JO Min Ore
<br />pxONP
<br />96,99
<br />No4 weN
<br />No[PrkN
<br />46.94
<br />Is
<br />gaai6tysauM1srge my Management moan dr
<br />o-EWoP
<br />a69a
<br />Not weN
<br />Net R'red
<br />J6.d4
<br />99318
<br />IJuuess%ellllyilluluage eau hknagemenl;AlWm IN
<br />ll-A,
<br />46.44
<br />Nn PrkN
<br />No[PaN
<br />16M
<br />99315
<br />Ilunbd FacgiryllimNrge pat Mru+gemenl;mM.nd�
<br />ES-999fOP
<br />rr _v
<br />Not PhN
<br />NeI P.iN
<br />dead
<br />96
<br />gFeelgly 9lreM1erge pav NkmJFmen4: •30 M:r
<br />OF&fIP
<br />9g59
<br />Not PrkN
<br />Not PrkN
<br />9g,s9
<br />Sb
<br />g asility plsiM1erge deY Managemem;.30 Mn
<br />OI&/OP
<br />9g.59
<br />Not wnN
<br />Nnl PrkN
<br />99.59
<br />16
<br />g antitylliscNrge Day Managmenta30 Mn
<br />pI0141
<br />]J.JI
<br />Nnl Hied
<br />43116
<br />Nursing%ciliry Dluherge pay hAnagemen4;s3tl Mn
<br />-0D 1
<br />]dpl
<br />No[PreM
<br />Not wiN
<br />]dvl
<br />99318
<br />N-M,I iliry -.,p Dav Managemenc,�30 Mk
<br />1-99yIP
<br />]d Jl
<br />No 1-
<br />IJot paned
<br />]d4l
<br />16
<br />n 4+p6Jy plsi M1nge Dav Managemrm;e30Mk
<br />-99 F
<br />]LJ5
<br />Net PrkN
<br />Notp-
<br />N4l
<br />x9
<br />mrdkryfreu M1omeubit new pa4knt,pmhlem fomM1hlory;pro[Pem foeweym; NealghdvrwaN tlnipon makk8
<br />0.90(IP
<br />1d9
<br />Nal Pried
<br />Not PrkN
<br />i0.9
<br />-4
<br />1G
<br />Dnmiiluryfmsl hwneuGl, new pNknl,pm6kmfocm hhluT Prebkm faw exam;Mxle rferw+rd duNPnmaking
<br />p]AlpP
<br />)p.9
<br />Nor prYM
<br />MotweN
<br />]p.9
<br />9932a
<br />1G
<br />Dnm'rliarvlmst M1omeubit new patkm,prohlem focus M1bmry; probimfrcw •aam;NmigM1tlorwartl decision g
<br />21 mip
<br />ID,9
<br />Not%kcd
<br />Net%aN
<br />R9
<br />9rlixd
<br />D-iii+,0-hmne v!L ncwpNkm.pmhlcm four M1'nmry: problemfawewam; w+4gNrterwvrd dechlmmAm.
<br />2]-I9-
<br />A9
<br />No4 %eM
<br />Not PriN
<br />TI.9
<br />25
<br />ikry/resl Foneunit ne.pal'enl,uptld preM1lem lean kNnrv;r•pdd➢robkm lrcusowm; kwdeuunnmakmg
<br />tF20/IP
<br />IO33g
<br />Nns P+eN
<br />Not PrkN
<br />W3.1g
<br />4]315
<br />FG
<br />t-.Jarv,-hwnerNtnewnaknl.erpdd pmMem mmshistory; eapN probkrrr ls<w eym: le+rdc lon mating
<br />g]plDP
<br />]03.J8
<br />Nat prkN
<br />No4 PreN
<br />1-03.38
<br />99326
<br />TG
<br />pome,lurylrnt hmmena{tnew Patient, dpdd problemlesur N+Iwrl; erpdd Problem mc-, mwdemlm makn4
<br />21�993/IP
<br />]03.38
<br />Ibt n-
<br />NUI PaN
<br />toll&
<br />99325
<br />TG
<br />pwrvilkry/mst homevbt newpNkm, Mptld pmhlem loom ldamry. mPM pro6km levuseaam; low tlemsionm g
<br />-99a2oP
<br />109lg
<br />Mol PriN
<br />No4 wiM
<br />lt1138
<br />26
<br />mlkry{rest Ponedclt Hen Pe4'rn4, detvaN Nblwy:dnailN uam:dtthion maFingolmNerarc campk.uy
<br />pxMIP
<br />199.]3
<br />Not PreN
<br />efot %'uN
<br />199.13
<br />26
<br />moi+rvfmst Pone-1 new pa4knt detaJN NisrorydeYdM vvm; dc'slon making olmNemm mmpkairy
<br />0.lofov
<br />199.13
<br />Not PmN
<br />Net R'eN
<br />119.13
<br />99326
<br />TG
<br />pnnkJluy/rest Faneuhtnewpbent,d--NiNeM.de4alNeram; desalm making olmMemrc mmpk.Vry
<br />]3.999/Ip
<br />149.13
<br />Not PhN
<br />Nol Pried
<br />Id9.11
<br />4932G
<br />TG
<br />-Icilkry/rest M1mne wt new patkm. hen JN hhmrytlewlNe•+m; de=g;on making dmoderaoe --I,
<br />31-959fGP
<br />34 U
<br />Not PrkN
<br />Net P-
<br />199I3
<br />m3YP
<br />pmm'r�lyrylmw honrnrlt newnalkm.comp Mstory: comp exam; dec4Non mabn; elmademte mmpb•iry
<br />0.3onP
<br />198]d
<br />Neel-
<br />NotP-
<br />19629
<br />2]
<br />mo uryfmst Fonendt newpatkn., mmprksmry; rmnp eeam; d«'men m+YinB Dime&rammmplMiry
<br />PJILJOP
<br />19424
<br />Not PreN
<br />Nel%kN
<br />-24
<br />Tl3J]
<br />TG
<br />Rmd:ilial"rd hone sidt ppdind,unrmr hi4on:
<br />99911P
<br />)9G)4
<br />Not P,.w
<br />Not ReN
<br />I462q
<br />x]
<br />IJunoA---red hum+idi rmn paieq comp Nidun; uurgcr+rrt,6.d.ym nnkmp of rnxkmz wngicuN
<br />99g/ov
<br />19ru14
<br />-11-
<br />Iba RiPd
<br />396 Jq
<br />x8
<br />Ty
<br />mn,nrv/rew Fmnewn,nrw natmm.comp hiuoT cwnP er:am:du'uion mating MNighmmpkaty
<br />p2pllP
<br />tvl9
<br />Ne4%kM
<br />Noi PrrN
<br />24x,9
<br />28T.morarrlmst
<br />M1mne dslt new patknl, romp Msmry; ramp cum; dee'rue9 m+Ykg nlh®hmmpk.iry
<br />Yl9lov
<br />24L9
<br />No4 PreN
<br />Net PrrN
<br />]dL9
<br />993Y8
<br />TG
<br />IbmiJi,rv(•3l hwneurt new Palknt, mmp history; coop eeam; decision making elhgFmmpk•ity
<br />21-93514P
<br />tax9
<br />Not RON
<br />Not PreN
<br />24E,9
<br />99328
<br />TG
<br />pomilkry/mst M1anevist newpatknt, mmp M1ismry; comp exam;tlx'aian maYmg olhyh samplerity
<br />YF-9YNOP
<br />24L9
<br />Not PrtN
<br />Nnl PliM
<br />3419
<br />.1.
<br />TG
<br />pomilkrylmst M1anevrdt ntpa0ent]ok paohkm4nrnhkmry;Prahlmn bms Ham: sthvd mNkal tleeislwr eru g
<br />0.21op
<br />54.89
<br />No4 Pried
<br />Nm PrkN
<br />Sf.89
<br />Y
<br />ppmi�lkrvlrnl hnmcndt e•I palknt.2ol: problem Eocmh'amry;pmhlan locus e.vm; s[Iwd medkaldms.. ma g
<br />0.NyNP
<br />Sd.a9
<br />11e4 PrsM
<br />No4%kN
<br />H,g9
<br />>4
<br />oirryfmst Fore visit m1pahen1,2.11ruhkm Fam Lhmry; h.- Ham: stlwtl medkaldnlslon maY4ng
<br />999f1P
<br />5989
<br />-1-
<br />Net RkN
<br />M316
<br />FG
<br />midilryfrest None Nlr,Itp-,xol;pmbkm Fam M1bmry;Pmhlem
<br />Nos wied
<br />.1%kM
<br />SI,g9
<br />99335
<br />TG
<br />pomiT ry/mst M1an utn4 Wrtent]or:npdd M1Nmry;e•pol.•+nri bwdttgimn making
<br />6)MP
<br />gG46
<br />X¢t%ked
<br />Nul vied
<br />a1f
<br />9g3]9
<br />TG
<br />Oomkilkrylmsl h-Oft utpali-t]ol; updtl Nsmry;exptltl exam; 1- dnklon maYmg
<br />p1p/p0
<br />gg4a
<br />Not1-
<br />N¢t lriN
<br />g6,46
<br />35
<br />perrV4Jbry/real honcvrsl4,eilp-k,2-1;npdd Mrwrycrpddmm.: kw dnNl¢n rnaYmg
<br />2 WIP
<br />aed6
<br />Ne{PriN
<br />Hot PrkN
<br />mI{
<br />99336
<br />YG
<br />omnkdkryfmst honendt es4patient 2d: u pdtl ks ry, p ,bw dubcrvma5ing
<br />1ww9
<br />8696
<br />-1-
<br />NelI,k
<br />g6.46
<br />9933G
<br />TG
<br />pmiuibrrfmil Nwneuidl, nl patimt,xol:dekdN ksmry;tlnaikd e•ain;mM deds;enmp4ng
<br />0.J0/IP
<br />1JLw
<br />Not PreN
<br />NotF-
<br />13266
<br />99336
<br />TG
<br />pmnkJury/rest MmevWr. nlprtlent,)¢l:deYJN Mrlervi delaikd cram; motltlecuion inaNng
<br />p]WOP
<br />ll266
<br />rqt P4iad
<br />Not PnN
<br />112%
<br />W-
<br />Te
<br />Domkdiarv/mst hmmCviml. eslpatlenl.] nEi. Bed N3mry;tlnmkd eeam; madde.R4en mating
<br />1111w,,
<br />U-
<br />Nal PriN
<br />Noc w'iN
<br />13L66
<br />%
<br />DemkdYrvlrntFamevhlY ar pnelenr,2nF� decoded MNoltdnalkd Ham; moddeuckn mAI
<br />9...P
<br />112A
<br />No4 P•kM
<br />mmp-
<br />J3Lb6
<br />3l
<br />eYevlmst hnmevkit m4patien[,1-1 mmp M1Merre mmp nam;mN m hldh dnh;mr mating
<br />-A,
<br />19533
<br />Nm RSM
<br />Not-
<br />19l..
<br />9933i
<br />iG
<br />miduw/mat hemekidl, col patienl,xeF.mmp hb]ory; comp-.,;mN m I,kh duirkn making
<br />1Njw
<br />x95.33
<br />No4%eN
<br />Nol P4iN
<br />.5,]3
<br />9933]
<br />TG
<br />DemadU,)-, hum knr Wtient }oNmmp hbb scoop eom;mN m hlglr-1-mating
<br />nnmliP
<br />195.3)
<br />Nor %ied
<br />No4 PreN
<br />19SJ3
<br />95337
<br />TG
<br />D.kilkry/cost hwnevidt.1 W-I. of mmphbmry; comp •.vm; mutl b hldh declsnn -mg
<br />2,999IOP
<br />L9S33
<br />Not Prked
<br />Nor Pried
<br />I9533
<br />493d3
<br />wnc YSR N-Pt3YeaCwnpwrrnrs:%Pb rows ll,'Prob Faus E.w;9ulR.d Mmd [leri•im
<br />0.1anP
<br />v,,3
<br />Not PrkN
<br />No4%kN
<br />32.31
<br />3
<br />me WrtNew%3k+-P[onpenmb. Pmhrewrll.: Prob Faus ExNn; 5lrthytl Metl peJslmr
<br />0.181GP
<br />3)JI
<br />Not P-
<br />11o4%kN
<br />1Y..
<br />9gNI
<br />me YnNNewR3 uY ponenn, Penb Fours W, Pmb Feeos Penm: Strllwd Mad Decision
<br />OLply
<br />xe l6
<br />[lolPmN
<br />Net Rkrd
<br />]8,]d
<br />993d+
<br />YmN New %34y [em Pmb Focus He; Prob Faus Eeam; svtNva Ncd Ouiskn
<br />enh:Pmb
<br />0.JOfav
<br />28,16
<br />993d1
<br />Nome YSR New %31kv Cwn Fowz Hr; PmbFaus &vm; 51mlwtl Ned Oeaiskn
<br />JS-999/1P
<br />18�16
<br />IJot PdcN
<br />taut Pried
<br />Torus Team; ShaFwd Nx:d Duislon
<br />21 ryop
<br />vrkN
<br />I8,16
<br />993dI
<br />1G
<br />Homu YNl NewR3Nn Cmnpmrcnm Pmb Focus Hx,Pmb -E•mn; srrlhvtl Ned oecisim
<br />D3%IP
<br />Kr,l6
<br />Not%kN
<br />H tvriN
<br />webFaus Exam: Synfwtl Med pecNmn
<br />p211/ar
<br />aRkN
<br />Hot PNCN
<br />J015
<br />99341
<br />TG
<br />Home WttNew%3AeyCompennY: Psah Faros lk; P.ab Fiscus Fsam; 9trtcwtl MeJ Deehmn
<br />LJA99/Ip
<br />40.16
<br />vriN
<br />db-15
<br />avrll.; PrcbFowl &am:9tah,d MeJ petamn
<br />F-Vop
<br />d0,15
<br />»ked
<br />Not PskN
<br />9931J
<br />Heme Vrsh liew%]0.eyCnmpvnen N:6rptN Prob FemslM1 FwpaM Prob Foere E+am; MH Dun low [ompka
<br />0.ldllP
<br />bg.gl
<br />wiN
<br />58A1
<br />WrtNew%3v+y �mPencnM1'F+wM Proh Faus M:Fa p- PmhFnen F++m;MN pernFwiamp
<br />.'p-
<br />5g.8]
<br />Not Prked
<br />Notkl.
<br />ie81
<br />90b1
<br />YrtR New %]&eytan nb:F.wN Prob Focus Ha;Ea paM web feew E.+m; Mrd Dunirsw Comple•
<br />0.261iP
<br />priedN.141.39
<br />493dx
<br />woe WRclew%3peP[om;wnrnb',ErgM Proh Faus]Is:&WN Preh FmmE.am;MN �ec�lmv Cnm
<br />-zlop
<br />4R.39
<br />Not PrkN
<br />Nne wkN
<br />%3geyIonponenn.-E•pN Preh Focus w;kspaM Pmb Focus &am:MN Dnrvlaw FamPkv
<br />ll99yIP
<br />Not RkN
<br />9d.39
<br />9939i
<br />Home Ysi[clew%3geFCwnponnrs;Srp+N Prnb Fecw Vb;&paM vmbFocm Esam;MN Deco lew EemMu
<br />11999)pP
<br />J4.39
<br />Net prgN
<br />Mot RrN
<br />dd.39
<br />i
<br />umPYSR NcwR3pePCompmunh;F•MM Proh Faus Hx:ErpaN ptnh Fncas f.am; Meb oecrelmv Cnmper
<br />0.2onP
<br />5].i1
<br />Not PriN
<br />Not wiN
<br />sy.yF
<br />x
<br />mevnrt New w 3 Pay[onpencno:E-M Prnb Faus lh:£tpand Pmb Tows Sum; MN Oecn low Comp
<br />p]DJOP
<br />51,17
<br />Xp1 PnrN
<br />Not PrrN
<br />51.11
<br />1
<br />me WrtNew%3 Kry Gmpeeenb:4 Preh Peenslk;Fxpand%oh Focus dam:MN pnn cow Cmnpin
<br />2]-9 ,p
<br />5L]1
<br />NeI RkM
<br />Not Ilk-
<br />SL11
<br />993as
<br />16
<br />me Yrs:t New R 3 ray eempwren6:F•ryrd Prob -- larjipaxtl-1, Fnem
<br />in 999/oP
<br />77
<br />No4 weN
<br />I el v7,
<br />5].]]
<br />
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