Exhibit 1I - RCE Enhancements Authorization Parameters.pdf
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- Solicitation number
- 25DPP01060
- Issued by
- Mercer County, New Jersey
About this file
This document is the Recovery Court Efficiency (RCE) Enhancement Authorization Parameters for the Connecticut Department of Mental Health and Addiction Services (DMHAS). It outlines the service rate unit types, CPT codes, annual client limits, and other parameters for various RCE enhancements, including Continuing Care, Co-occurring Clinical Services, Recovery Support, Vivitrol Pre-Induction, and Vivitrol On-going Induction.
The document provides the details for each RCE enhancement, such as the service rate, unit type, CPT codes, annual client limits, and any applicable encounter entry requirements before the expiration of the authorization. It also includes information on Psychoeducational Group Services, which are only available to consumers admitted to Standard/Traditional Outpatient. The effective date for these parameters is July 1, 2024, and the document was revised on April 8, 2024.
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Exhibit 1I - Recovery Court Efficiency (RCE) Enhancement Authorization Parameters
Clinical Review
Service Rate Unit Type CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year Annual client limit
Continuing Care LOCI $ 26.43 20 minutes Clinical ZLOCI 2 2 n/a ZLOCI 2 2 n/a ZLOCI 2 2 n/a ZLOCI 2 2 n/a ZLOCI 1 2 n/a n/a
Limit Clinical Review $52.86 $52.86 $52.86 $52.86 $52.86 Co-occurring Clinical Services
Service Rate Unit Type CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year Annual client limit
Case Management - COOC $ 13.32 15 minutes Co-occurring T2022 HF 8 8 n/a T2022 HF 8 8 n/a T2022 HF 0 0 0 T2022 HF 0 0 0 T2022 HF 0 0 0 0 Limit Co-occurring Clinical Services
Enhancement $106.56 $106.56 $0.00 $0.00 $0.00
IWM & STR LTRT2 PC & IOP OP AWM (Detox) Limits
PC & IOP OP AWM (Detox) Limits
Recovery Court Efficiency (RCE) Fee for Service Enhancement Authorization Parameters
Encounter entry required before expiration of authorization (days) -
Encounter entry required before expiration of authorization (days) -
IWM & STR LTRT2
DMHAS RCE Page 1 of 3
SFY2025
Effective 07/01/24
Revised 04/08/24
Recovery Court Efficiency (RCE) Fee for Service Enhancement Authorization Parameters
Recovery Support
Service Rate Unit Type CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year Annual client limit
Recovery Support Care Management $ 26.40 15 minutes Recovery Sup H0023 HF 4 16 n/a H0023 HF 4 16 n/a H0023 HF 0 0 n/a H0023 HF 0 0 n/a H0023 HF 0 0 m/a n/a Transportation - staff time $ 9.30 hour Recovery Sup ZTRAV 10 10 n/a ZTRAV 10 10 n/a ZTRAV 0 0 0 ZTRAV 0 0 0 ZTRAV 0 0 0 0 Transportation - mileage $ 0.33 a mile Recovery Sup ZMIL 300 300 n/a ZMIL 300 300 n/a ZMIL 0 0 0 ZMIL 0 0 0 ZMIL 0 0 0 0
Court Liaison $ 6.87 15 minutes Recovery Sup ZCTLI 6 6 n/a ZCTLI 6 6 n/a ZCTLI 6 6 n/a ZCTLI 6 6 n/a ZCTLI 6 6 n/a n/a
Limit Recovery Support $655.62 $655.62 $41.22 $41.22 $41.22 Vivitrol - Pre-Induction
Service Rate Unit Type CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year Annual client limit
Case Management - Vivitrol $ 13.32 15 minutes Vivitrol T2022 HF 4 4 n/a T2022 HF 4 4 n/a T2022 HF 4 4 n/a T2022 HF 4 4 n/a T2022 HF 0 0 0 0
Limit Vivitrol - Pre-Induction $53.28 $53.28 $53.28 $53.28 $0.00
Service Rate Unit Type CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year CPT Code Day Month Year Annual client limit
Case Management - Vivitrol $ 13.32 15 minutes Vivitrol T2022 HF 2 2 n/a T2022 HF 2 2 n/a T2022 HF 2 2 n/a T2022 HF 2 2 n/a T2022 HF 0 0 0 n/a
Limit Vivitrol - On-going Induction $26.64 $26.64 $26.64 $26.64 $0.00
IWM & STR
IWM & STR LTRT2 PC & IOP OP
Encounter entry required before expiration of authorization (days) -
Vivitrol - On-going Induction
Encounter entry required before expiration of authorization (days) -
Encounter entry required before expiration of authorization (days) -
AWM (Detox) Limits
AWM (Detox) Limits
IWM & STR LTRT2 PC & IOP OP
LTRT2 PC & IOP OP
AWM (Detox) Limits
DMHAS RCE Page 2 of 3
SFY2025
Service Psychoeducational Group Services*
Unit 90 minutes
Weekly Limits See LOC Limits
Rate Per Unit $6.61
Max units per diem 3
CPT Code Z3355
*Only when delivered to consumers admitted to Standard/Traditional Outpatient
DMHAS RCE Page 3 of 3
SFY2025
| RCE |
| OP |
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