|
UNITED HEALTHCARE
<br />WASHINGTON MEDICAID AND WASHINGTON BENEFIT PLANS FOR THE UNINSURED BEHAVIORAL HEALTH PROFESSIONAL REIMBURSEMENT SCHEDULE
<br />HPGxI
<br />M-.- T-Ml and soppnL Pn is Mlwta
<br />x1999/oP
<br />9.a2
<br />9.8E
<br />9.a2
<br />Medralun Trainnv ana seppert,➢er l5 Mlmnn
<br />OtOAP
<br />9.0E
<br />HOpx
<br />TG
<br />Mryiatipn nairiing a�tl soppnL Pee is Mlwre
<br />020lW
<br />9.5E
<br />Aa2
<br />9.8E
<br />ra, pet l5 Mlwtn
<br />93d/IP
<br />9.ai
<br />HPax
<br />IG
<br />Mcdh+taco naieinq ana soppml, Pw is Mlwte
<br />21.I./.
<br />9.5E
<br />9.9E
<br />9.8L
<br />xaalS
<br />an, Ontmen4lau TWn l4 Hews
<br />02H(IP
<br />103.OJ
<br />HW35
<br />HK
<br />Mervral HealN PartdalHwpitalhmion, Trnrmeny. ass flan 24 Noun
<br />6XV0➢
<br />101trJ
<br />EO].03
<br />}BlW
<br />-is
<br />HK
<br />men4 M+sTNn2A Hew
<br />999IIP
<br />at.
<br />SOS03
<br />]pi0l
<br />-1
<br />xK
<br />Menml HeHN Parcel NwpitalLation. TrnrmmLleu Thin Z4 Hmvn
<br />it -XI
<br />niat
<br />Mal
<br />Ie
<br />xp103
<br />ms, Paae�lx�F+nr,PnlS Mln
<br />atOAP
<br />LTI
<br />RE
<br />-1
<br />Community PsyNomc Supponire Trcarmmr,Fxrlo-Htt. vw ]S mt.
<br />-1.1
<br />L71
<br />a.R
<br />LR
<br />LR
<br />muniry Psxhuvicsuppunive TrnwmL Faa-1x�F+m, Per lS Mrn
<br />9mNP
<br />LII
<br />L>2
<br />LT2
<br />NOOJ6
<br />Gnmmunity OsytLlatMSu➢pnrtiu Treatment. facelo-Fxe.PxlS Mm
<br />9Tsluv
<br />e.Y2
<br />LR
<br />nnllY 0.yeM1l+tne5uppomm Treatment, Face lwFare,ltr ]S Mat
<br />a,mp
<br />NOOl6
<br />IG
<br />[nmmanity PayrNianvSuppwcve Tnavnent. FxeTo-Fxe, Per lS Min
<br />o-lplue
<br />&R
<br />a,R
<br />muniry 0.ye2rGMe5uppwpm Treatment, Fxelo-Faae Per is Mir
<br />F;-99911p
<br />LR
<br />S.R
<br />a.R
<br />HOBJ6
<br />)G
<br />[ammuntry ra,<3rmnre 5uppnrtiu Treavnen[. FxeTo-Fxe, Per ]S Min
<br />99910P
<br />a,R
<br />ll-Hbprpeer Seweea, Per is Miwtes
<br />b}011y
<br />JSAI
<br />LSAT
<br />mm
<br />HNN
<br />kll-Hetp;Peer I-- Per is Minusn
<br />uZWOv
<br />15.0]
<br />xpp19
<br />k1til.rW cr SCMcn, per lS M•nutm
<br />2599911P
<br />JSAl
<br />L5.02
<br />15A1
<br />SrrN.xelprywrse..mma vet l5 htinecn
<br />Tl-l".'
<br />Ism
<br />iS.Os
<br />HG03a
<br />HF
<br />ScM HcfplPnnrSmicri, Pn IS FSnuEn
<br />&zwlp
<br />Ls,ai
<br />25.0]
<br />15A1
<br />ISAI
<br />bell xelp/Peersnkms, an 15 Li-,
<br />ii-P
<br />ant
<br />iLOI
<br />HOPx
<br />HF
<br />RII-Neb/Pnrr SrMwi, pm lS Minuee.
<br />21A99AP
<br />at
<br />..at
<br />ls.9l
<br />6eN Neryslpeer Services, an lS hsi�et.s
<br />t1Aw-
<br />is
<br />is..
<br />H063B
<br />T5
<br />kll-Helprher5ervicn. Per HMinv[n
<br />0W1
<br />oft
<br />LIM
<br />15,OL
<br />-HelpfPceL,
<br />,'=p
<br />L'a,
<br />15-1
<br />Hit
<br />N0G30
<br />1G
<br />kll-HellJPeerkMns. Per lS Minn[n
<br />21A99/Ip
<br />15.a1
<br />ISAI
<br />pm
<br />F5,01
<br />HeIpIPem SeMses, Per is Minn[es
<br />rertive
<br />-Illp
<br />1S dt
<br />1sAl
<br />is ei
<br />1N1M6
<br />Ass Cammuniry TnvnntProgram, Pot Oiem
<br />0.10/Ip
<br />A,
<br />102Ag
<br />-49
<br />unity TrmhnmtPro6mm, o<r OS<m
<br />0.NluP
<br />]bx.a9
<br />18L69
<br />IaE.49
<br />ltpp4¢
<br />As.enivxlemmunity rreavnent Crugram, hr Oiem
<br />993/IP
<br />F8L49
<br />lt045p
<br />21-1-,
<br />18L49
<br />16E.49
<br />Ia2A9
<br />lapptu
<br />1�
<br />rve CammuritY rreavnent Pr94nm, Per Okm
<br />62ulIP
<br />18219
<br />ItpptO
<br />a`bwop
<br />is-
<br />-.49
<br />Le119
<br />Ilpolp
<br />Ip
<br />me 6nmmunitr rrnhnmt nngmm, per Diem
<br />i.s�/lP
<br />iezn9
<br />iet
<br />E19r1•J/W
<br />1-
<br />-a 9
<br />leza
<br />Sap -11-. , Per a..
<br />P rzAy1P
<br />]5.519
<br />H9N3
<br />Snpmnetl Hws'in Pc•Fkm
<br />all"
<br />R6i
<br />]i.61
<br />]l,hl
<br />11-g1
<br />II-99vrP
<br />n.u1
<br />n.pl
<br />i-I
<br />Supported Hmsin Per PSm
<br />z;.99910p
<br />71.6t
<br />n.61
<br />31.g1
<br />n NMP
<br />13, 54
<br />Is.x
<br />L-1
<br />Pesnhe GmSerwcn. Nol In lM1 xame�pe.Akm
<br />0.10y0P
<br />A'
<br />13y.`t
<br />tib.54
<br />v..Okm
<br />3991lp
<br />L3&54
<br />Ld,54
<br />N0045
<br />PespheGrcSeMcn. Noun The Home, pw Ofem
<br />1F 99q/op
<br />lx.z2
<br />U-
<br />kcSpmFied
<br />IF2pllP
<br />x,xil
<br />x9St
<br />H0046
<br />Rlmul HealNSerskes,Nx ghewhekeceed
<br />o-TpfoP
<br />x,22
<br />x.]]
<br />x,2E
<br />hespttilied
<br />11-er HP
<br />x,xx
<br />x-2x
<br />x.zx
<br />H0016
<br />Menol HealN Serrices.Nx IXherwhe knnlied
<br />gp9fW
<br />xa2
<br />xE2
<br />.,aA'
<br />x.Zz
<br />lit]
<br />x.22
<br />HOW6
<br />TG
<br />Men¢I HeaIN Serricev Nx O[herwhe SpttiNed
<br />[ wuP
<br />Ir004G
<br />es, Hot IXherwee SPseiried
<br />zi-miIP
<br />x.2z
<br />x,zz
<br />x.LE
<br />Np096
<br />TG
<br />Meaul-1d.5etrrces. Not dPetwiu Spxlried
<br />999/W
<br />z
<br />x.]2
<br />tgpA)
<br />Mdlm'mlLw OmgAWse Serwaes, Hnt OBmrwlse5pmrfed
<br />fF20lIP
<br />R22
<br />Rtl
<br />R
<br />IMIGIi
<br />-6.Ian1 . don Orug ALuu Semias, Nos OtLerwhe5pevfed
<br />420fuP
<br />R
<br />H004)
<br />AlwhelMd/nrothm DmgAWse serwres, Hoi Otlmmge SpeelFled
<br />L999fIP
<br />R
<br />R
<br />Tl
<br />rxgdY
<br />AlcaNd Mtl(d lhhn Omg Ahase Sersircs. Not OtLerxhe Syxlfkd
<br />999fnP72
<br />Tt
<br />Hg050
<br />Plmhotfd•ugscrvice lime
<br />0.20/lr
<br />R
<br />R
<br />T2
<br />hutlNndsemmlimur
<br />..'w
<br />72
<br />12
<br />tt
<br />HpOSU
<br />Plnhp4Au sc iwlimy
<br />2L-999/IP
<br />li
<br />12
<br />]_
<br />Ahehuljs se se l5mfi
<br />n39lav
<br />1Z
<br />R
<br />R
<br />xxou
<br />cnFls hnmrvenlmn iervkegn lsmlem�s
<br />-Al
<br />4 2
<br />42..1
<br />9zel
<br />Mae,per l5 m:swes
<br />o-tOryP
<br />4LLxat
<br />Raaxax
<br />42a1
<br />HLOII
<br />Gisizlmemmion serske.perss mmuks
<br />P9wu,
<br />42ax
<br />x1-999lKw
<br />rzaz
<br />u.ex
<br />4zaz
<br />NtOLL
<br />rG
<br />uiahrmervendnn rersice,per ]s mMwn
<br />-A'
<br />42,3x
<br />.1-1
<br />4zA2
<br />4-
<br />4.a2
<br />xNHL
<br />rG
<br />Grsisrnrer.enuon semice.per LSm owes
<br />2I999/lP
<br />4E,az
<br />ll999hxP
<br />4La2
<br />4x.bz
<br />41.0E
<br />H10[2
<br />9eluelwal M1e9hh tlay vealme tspernhpw
<br />PTAAP
<br />LGs]
<br />Hz{Ilz
<br />Peh+vimil M1=+tlh day rrea[menr, per haw
<br />0.1010P
<br />165,
<br />]6.s]
<br />16.5T
<br />NeluviwA h-11 d+yH e+ tment, per Low
<br />-99911p
<br />'",
<br />1.11
<br />411
<br />HZOIz
<br />lkMriwd hn4h aav rr=.[mme, pm hew
<br />11999/0P
<br />L65]
<br />i 7
<br />121,
<br />&6aviwd M1nOh tl+y ue+trumLpet heat
<br />�]OIIP
<br />Is5Y
<br />1.11
<br />L1-51
<br />I677
<br />Hz01z
<br />TG
<br />L6.s]
<br />1L53
<br />4.5)
<br />xmlhnHh darhntment-van haw
<br />1-999(m
<br />SLS1
<br />F65T
<br />]6.5]
<br />16.51
<br />H2Ot2
<br />rG
<br />9eMviaal M1eaOM1day vestment. perhour
<br />9991a]P
<br />i524
<br />L6.ST
<br />HI013
<br />lanhrysar2epermem. Lmmpin hl Jsteehbxlelwte
<br />Al20AP
<br />-
<br />a.T
<br />N2tllJ
<br />TG
<br />Ps%LlaHx healtM1 farJLryserdce, pertlkm. Campkn M1lghrnM1leulolwm
<br />RID%OP
<br />aH
<br />N1N13
<br />2199911P
<br />614
<br />824
<br />flx
<br />H2OLl
<br />iG
<br />PesrAi4tn rhealth P4uhrYsur�,te, pe rdiem. CnmPk, ghtnhl.velol+w.
<br />9gdINP
<br />924
<br />-14
<br />ryl'rcn11NP3
<br />0.201IF
<br />L].60
<br />U..
<br />it.
<br />ana deseiupmenL pn Fsminwes ruul61nlemve outpacent(I6P}
<br />U]n!M
<br />lY,4P
<br />L-
<br />L7,6a
<br />H2O19
<br />Sills training and drveVptm�cnt.p=r Is, Youth ylrnsire owpacenr{qP}
<br />11999/W
<br />1'..
<br />11.6e
<br />11-qq
<br />mt[gPl
<br />11 w5 '
<br />V..
<br />11,aq
<br />1168
<br />1].68
<br />N10L1
<br />TG
<br />SI.IlsrramingarM dcsrlopmcnL ocr15minutn Youth lrvrensrve ou[pavent{w
<br />.Av
<br />11..
<br />ese1opme1 per 15 minutes-1h lnremire wtpacem[tnPl
<br />o-ZOII]P
<br />L].KA
<br />1-
<br />Llu
<br />11
<br />H]Ox
<br />TG
<br />slllhtmnln;ana deve*pm.,- SSminwn I... l..a-. ou[ .-[-Y
<br />999IIP
<br />I],8B
<br />upnrenL Per 15 minutm yomty lnteruxe wapauml[bVl
<br />tlummuniry
<br />x -1S
<br />1].5a
<br />F]. 5a
<br />L'R
<br />utmp ekmuve supPntuMns, per 15mmasm
<br />0.2g4P
<br />li.bl
<br />Ib.63
<br />H1015
<br />unary wppenuMees, per lSminusn
<br />0.MfOp
<br />19.63
<br />586J
<br />pmhemke mmm�rvny s�ppnruMns, per tsminarn
<br />II-94]/IV
<br />F8.4]
<br />M.63
<br />H2Ols
<br />CamprMcnsa,e wmmw.ay mpputuryiecs," 15minuin
<br />2L 09h1.1
<br />1. -.1
<br />u1i
<br />1.
<br />y.uppmturgmi, perlsmioutes
<br />11vp
<br />lips
<br />N8I
<br />]853
<br />Wl.
<br />H26I5
<br />T6
<br />CompretePsivn mmmuniry suppwMcrrm.per liminwn
<br />-ax,
<br />it.
<br />HAlis
<br />unity suppwtservias, per JSminuser
<br />EI999fIP
<br />Jb,63
<br />]a.6J
<br />]8.53
<br />'u.is
<br />16
<br />Comprehensi a ommuniry suppwtservius. per tsminutn
<br />II-94lfOP
<br />Fa.63
<br />11.1
<br />620AP
<br />1)]a
<br />JS63
<br />L1.1
<br />IDI]
<br />0.ythnsA.ul mN9hillution seMrn, per l5 miwin
<br />0.tApP
<br />t"
<br />]].]
<br />..7
<br />21A9911p
<br />I1_1
<br />lY.}
<br />Lt.)
<br />wKhorwxlyduLdlutlen serMeLPer LS mitmtn
<br />S�1mnp
<br />11,T
<br />L, 1
<br />L17
<br />1).x
<br />N2011
<br />1G
<br />-0111
<br />Ill
<br />it
<br />lY.]
<br />?x0(OP
<br />L7.1
<br />I],]
<br />17.7
<br />120IT
<br />2].]
<br />a2.7
<br />L.2b999yQP
<br />a
<br />LT.]
<br />L]T
<br />1xx
<br />112iR4
<br />rRxapeuk LeM1xforalumkn,px LSmnutn
<br />6IDAP11
<br />1111
<br />11 S2ll.52
<br />Hxln9
<br />V-1
<br />11.5E
<br />U.52
<br />U.51
<br />2NerapeutY Ikh9.sorarurukn.pn L-a-
<br />-pp
<br />115I
<br />115E
<br />N2N5
<br />Fkmaprut*hrhaNmalscmicn. ml5minulcs
<br />9p9/pP
<br />1F 51
<br />walxru�n, nl5minwes
<br />o-2011P
<br />]6.35
<br />]G.15
<br />36.Ss
<br />L.LS
<br />Niil19
<br />16
<br />ihwaprutk hnM1Mwaiurvtcs. pn l9mmutn
<br />O2p/uP
<br />1e.35
<br />HIOy3
<br />E1999lIP
<br />36.35
<br />36.35
<br />-s
<br />ttEW9
<br />T6
<br />TRe apeuti hehanwa[urvkn. pn l9 minutes
<br />999f-
<br />36, 35
<br />NxvxO
<br />-Ap
<br />Sat%
<br />5a19s
<br />501%
<br />the.+p.uu 6.n+vic�+t s.mtres. per dkm
<br />llt0l�
<br />5019a
<br />Set 96
<br />X2,96
<br />50296
<br />
|