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Elizabeth M. Whitehorn, Director

Provider Notice issued 03/19/14

Appendix 12 of Chapter 100, General Policy and Procedures Handbook

To:​ Participating Physicians, Chiropractors, Podiatrists, Optometrists, Advance Practice Nurses, Federally Qualified Health Center (FQHC), Encounter Rate Clinic (ERC), Rural Health Clinic (RHC) and Hospitals​
​Date: ​March 19, 2014
​Re: ​Appendix 12 of Chapter 100, General Policy and Procedures Handbook

The department has updated Appendix 12 of Chapter 100 General Policy and Procedures Handbook with co-payment information for Encounter clinic behavioral health visits for adults.

The chart in Appendix 12 identifies the eligibility categories, specific procedure codes subject to cost sharing and the co-payment amounts. The chart will replace the copayment information in Appendix 12 of Chapter 100, General Policy and Procedures Handbook.

The General Policy and Procedures Handbook Chapter 100 is available on the department's website.

Questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565.

Instructions for Updating Handbook

Appendix 12 (pdf)

Remove pages HFS Appendix 12 and insert new page HFS Appendix 12