The Indiana Health Coverage Programs (IHCP) Professional Fee Schedule includes reimbursement information for providers that bill services using professional claims or dental claims reimbursed under the fee-for-service (FFS) delivery system. For each procedure code (and certain procedure-code-modifier combinations), the Professional Fee Schedule lists the reimbursement amount or indicates if the service is noncovered, and also notes additional information, such as if the service requires prior authorization or has age or unit limits.
If services are not available or feasible from a community health provider, psychotherapy must be provided from a psychiatrist, licensed psychologist, psychological examiner, licensed clinical social worker, or licensed clinical professional counselor. Counselors preauthorize all services to ensure rate of payment matches the established Medicaid rate for the State of Arkansas as approved the by the General Assembly (the Medicaid rate), which is set as of July 1 of each year, updated annually. Services are identified and reimbursed by CPT code. Invoices are validated by the counselor to match the CPT code.
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