Agencies
Services
Provider Notice issued 07/10/08
Licensed Clinical Professional Counselors
PROVIDER BULLETIN D200-08-01
| To: |
Participating Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) |
| Date: | July 10, 2008 |
| Re: |
Licensed Clinical Professional Counselors |
The purpose of this bulletin is to inform FQHCs and RHCs that the department has completed the programming to allow reimbursement for behavioral health services provided by Licensed Clinical Professional Counselors (LCPC) through an enrolled FQHC or RHC. To receive reimbursement for behavioral health services rendered by an LCPC, providers must bill procedure code T1015 with the HO modifier. In addition, providers must detail all services provided during the encounter using the appropriate CPT or HCPCS procedure codes. The department will reimburse providers for only one behavioral health encounter per patient per day.
FQHCs and RHCs wishing to have an LCPC added to their provider file must submit a copy of the LCPC’s license and a letter with the effective date to the Provider Participation Unit at the address listed below. The department will allow a retroactive date of October 22, 2007, which was the effective date of the administrative rule filing. Once the LCPC has been added to the department’s files, a new Provider Information sheet will be mailed to the clinic.
The Handbook for Providers of Encounter Clinic Services, Chapter D-200 has been revised to reflect this change and is available on the department’s Web site at: <http://wwwqa.illinois.gov/hfs/MedicalProviders/Handbooks/Pages/default.aspx>. If you do not have access to the Internet, or need a paper copy, printed copies are available upon written request. You need to specify a physical street address to ensure delivery. Submit your written request or fax to:
Healthcare and Family Services
Provider Participation Unit
Post Office Box 19114
Springfield, Illinois 62794-9114
Fax Number: 217-557-8800
E-mail address is hfs.ppu@illinois.gov
To reduce copying and mailing costs, the department may not always include hardcopies of attachments referenced in notices and bulletins. Web site links are identified so providers may view and print the material from the Internet.
If you have questions regarding this bulletin, please contact the Bureau of Comprehensive Health Services at 1-877-782-5565.
INSTRUCTIONS FOR UPDATING HANDBOOK
D-201.1 Participation Requirements
Remove page June 2007 HFS D-201 (1) and insert new page October 2007 HFS D-201 (1)
D-203 Covered Services
Remove page June 2007 HFS D-203 (1) and insert new page October 2007 HFS D-203 (1)
D-210.1 Definition of Encounter
Remove page June 2007 HFS D-210 (1) and insert new page October 2007 HFS D-210 (1)