Exhibit 1A - DAS Contract Enhancements Authorization Parameters.pdf
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- Solicitation number
- 25DPP01060
- Issued by
- Mercer County, New Jersey
About this file
This document is Exhibit 1A - DAS Contract Enhancements Authorization Parameters, which outlines the fee-for-service enhancement authorization parameters for the Division of Mental Health and Addiction Services (DMHAS) contract. It details the service rates, unit types, CPT codes, billing codes, and annual client limits for various co-occurring clinical services, including case management, comprehensive intake evaluations, crisis intervention, family therapy, individual therapy, group therapy, clinical consultation, medication monitoring, and psychiatric evaluations. The document specifies the effective date of July 1, 2024, with a revision date of April 8, 2024.
The document provides the authorization parameters for both residential and ambulatory service limits, as well as the encounter entry requirements before the expiration of the authorization. It also outlines the service enhancement limits for co-occurring clinical services, co-occurring medication monitoring services, and co-occurring psychiatric evaluations.
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Exhibit 1A - DAS Contract Enhancements Authorization Parameters
Co-occurring Clinical Services
Service Rate Unit Type CPT Code Day Month Year Billing Code Day Month Year Annual
Client Limit
Case Management - COOC $ 13.32 15 minutes Co-occurring T2022 HF 8 16 n/a T2022 HF 0 0 0 0
Comprehensive Intake Evaluation $ 171.99 service Co-occurring 90791 1 1 n/a 90791 1 1 n/a n/a
Crisis Intervention - Individual $ 15.12 15 minutes Co-occurring S9484 HF 0 0 0 S9484 HF 0 0 0 0
Family Therapy $ 113.84 60 minutes Co-occurring 90847 HF 0 0 0 90847 HF 0 0 0 0
Individual Therapy $ 71.39 30 minutes Co-occurring 90832 HF 0 0 0 90832 HF 0 0 0 0
Individual Therapy $ 94.46 45 - 50 minutes Co-occurring 90834 HF 0 0 0 90834 HF 0 0 0 0
Group Therapy $ 27.48 90 min Co-occurring 90853 HF 0 0 0 90853 HF 0 0 0 0
Clinical Consultation $ 27.75 15 minutes Co-occurring 90887 0 0 0 90887 0 0 0 0
Limit Co-occurring Clinical Services
Enhancement $385.11 $171.99
Divison of Mental Health and Addiction Services - Contract (DAS)
Fee for Service Enhancement Authorization Parameters
Residential Limits Ambulatory Limits
Encounter entry required before expiration of authorization (days) -
DMHAS DAS Contract Page 1 of 2
SFY 2025
Effective 07/01/24
Revised 04/08/24
Exhibit 1A - DAS Contract Enhancements Authorization Parameters
Divison of Mental Health and Addiction Services - Contract (DAS)
Fee for Service Enhancement Authorization Parameters
Service Rate Unit Type CPT Code Day Month Year Billing Code Day Month Year Annual
Client Limit
Medication Monitoring $ 47.54 15 minutes CO Med 90862 HF 0 0 0 90862 HF 2 2 n/a n/a
Limit Co-occurring Medication Monitoring
Service Enhancement $0.00 $95.08
Psychiatric Evaluation
Service Rate Unit Type CPT Code Day Month Year Billing Code Day Month Year Annual
Client Limit
Psychiatric Evaluation $ 437.76 service Psych Eval 90792 1 1 4 90792 1 1 4 4
Limit Co-occurring Pyschiatric Evaluation
Service Enhancement $437.76 $1,751.04 $437.76 $1,751.04 $1,751.04
Ambulatory Limits
Residential Limits Ambulatory Limits
Encounter entry required before expiration of authorization (days) -
Encounter entry required before expiration of authorization (days) -
Co-occurring Med Monitoring Services Enhancement
Residential Limits
DMHAS DAS Contract Page 2 of 2
SFY 2025
Effective 07/01/24
Revised 04/08/24
File details come from the government source that posted it. Updated .