(1)
Rates as Full Compensation. The rates under 101 CMR
362.00 constitute full compensation for community support program services
provided by community support programs to publicly aided and industrial
accident patients, including full compensation for necessary administration and
professional supervision associated with patient care.
(2)
Rates of
Payment. Payment rates under 101 CMR
362.00 are the lower of
(a) the eligible provider's usual charge to
the general public; or
(b) the
schedule of allowable rates for services provided by community support programs
as set forth in
101
CMR
362.03(4).
(3)
Modifiers.
(a) -HK:
Specialized mental health programs for high-risk populations (Community Support
Program for Homeless Individuals).
(b) -HH: Integrated mental health/substance
abuse program (Community Support Program for Justice Involved).
(c) -HE: Mental health program (Community
Support Program-Tenancy Preservation Program).
(4)
Fee Schedule Rates for
Community Support Program Services. The payment rates for
community support programs are as follows:
|
Code
|
Rate
|
Service
Description
|
|
H2015
|
$15.88
|
Comprehensive community support services, per 15
minutes (Community Support Program)
|
|
H2016-HK
|
$27.72
|
Comprehensive community support services,
per
diem, specialized mental health programs for high-risk populations
(Community Support Program for Homeless Individuals)
|
|
H2016-HH
|
$21.44
|
Comprehensive community support program,
per
diem, integrated mental health/substance abuse program (Community
Support Program for Justice Involved)
|
|
H2016-HE
|
$22.81
|
Comprehensive community support services,
per
diem (Community Support Program-tenancy Preservation Program)
|
