Exhibit 2B - DUII ASAM Residential LOC Authorization Parameters.pdf
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- Solicitation number
- 25DPP01060
- Issued by
- Mercer County, New Jersey
About this file
This document is the Exhibit 2B - Driving Under the Influence Initiative (DUII) ASAM Residential LOC Authorization Parameters for the State Fiscal Year 2025, effective July 1, 2024. It outlines the authorization parameters for various levels of residential treatment services for individuals with substance use disorders, including halfway house, long-term residential, short-term residential, and inpatient withdrawal management. The document provides details on the ASAM levels of care, CPT codes, maximum units per authorization, authorization time frames, daily and weekly limits, and the number of days required for initial and extended authorizations. It also includes the authorization value and shared service name for each level of care.
The pricing information includes the rate per unit for each service, ranging from $28.49 to $475.42. The document also specifies the annual client limits for adults, which vary by service type. Additionally, it indicates the "Authorization RED ZONE" which is set at 67% of the annual allocation for the services.
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Exhibit 2B - Driving Under the Influence Initiative (DUII) ASAM Residential LOC Authorization Parameters SFY 2025 Effective 07/01/24 Revised 04/08/24
Service Assessment Halfway House (7 days)
Halfway House (14 days)
Halfway House (30 days)
Long Term Residential
Tier 2 (7 days)
Long Term Residential
Tier 2 (14 days)
Long Term Residential
Tier 2 (30 days)
Short Term Residential
(7 days)
Short Term Residential (14 days)
Inpatient Withdrawal
Management
Type/Modality Pre-Admission Residential Residential Residential Residential Residential Residential Residential Residential Residential
ASAM LOC N/A Level 3.1 Level 3.1 Level 3.1 Level 3.5 Level 3.5 Level 3.5 Level 3.7 Level 3.7 Level 3.7 WM
CPT Code H0001 HF H2034 HF H2034 HF H2034 HF H0026T2 HF H0026T2 HF H0026T2 HF H0018 HF H0018 HF H0010 HF
Maximum units per Authorization 4 7 14 30 7 14 30 7 14 5
Authorization time frame (days) 30 7 14 30 7 14 30 7 14 5
Unit 30 minutes Per diem Per diem Per diem Per diem Per diem Per diem Per diem Per diem Per diem
Daily Limits 4 1 1 1 1 1 1 1 1 1
Weekly Limits 4 7 7 7 7 7 7 7 7 7
# of days at which initial ERL needed N/A 5
# of days at which ERL can be submitted N/A 3
Authorization RED ZONE (67% of annual allocation) N/A N/A
Adult Annual Client Limits (units) N/A N/A
Rate Per Unit 28.49$ 475.42$
Authorization Value 113.96$ $ 696.01 $ 1,392.02 $ 2,982.90 $ 1,129.31 $ 2,258.62 $ 4,839.90 1,713.46$ 3,426.92$ 2,377.10$
Shared Service Name N/A
Detox - Free-Standing
Residential (Sub-Acute)
Halfway House
N/A
N/A
$ 161.33
Short Term Residential
N/A
Long Term Residential
N/A
$ 244.78
N/A
$ 99.43
N/A
Driving Under the Influence Initiative (DUII) Fee for Service - Adult Residential
ASAM Level of Care Authorization Parameters
Page 1 of 1 DMHAS DUII
DUII
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