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Provider Financial Stabilization Program for Child MH/SUD Residential and PRTF Services

Due to the COVID outbreak, Alliance Health is committed to providing financial support for our Medicaid funded Child Residential Services.  The rates are specifically to support direct care staff and families, increased expenses to meet children’s’ education and nutrition needs during extended school closure and COVID related supplies. Each level of service will have Scopes of Work to clarify those expectations.

Rates will be increased with an effective date of April 1, 2020 through May 31, 2020. The table below outlines the rate increase per level of care along with the associated procedure codes. Please hold billing until April 13 to allow time for the rate increases to be entered into the Alliance claim system. If any billing occurs prior to the rate change for applicable dates of service, provider will be responsible for re-submission of claims to pay at the higher rate. Alliance will not re-adjudicate any claims.

There are some specialized services that will not be included in this stabilization plan. Individual agencies impacted by those exceptions will be notified.

CODE TABLE
Level of CareProcedure CodeCOVID 60 Day Rate Increase
PRTFRC 91115%
Therapeutic Foster Care, IAFT, Enhanced TFC, IDD/MH TFCS5145

S5145 22 HA
S5145 22 Z1
S5145 22 Z2

20%
Level IIH202020%
Level III & IVH0019 HK
H0019 HQ
H0019 TJ
20%
Rapid ResponseS5145 22 Z330%

 



Page last modified: April 7, 2020