Exhibit 2L - RCC 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 Recovery Court Contract (RCC) ASAM Residential Level of Care (LOC) Authorization Parameters for State Fiscal Year 2025 effective July 1, 2024. The parameters establish the authorization limits for various residential service levels under the RCC program, including Halfway House (7, 14, and 30 days) and Long-Term Residential Tier 2 (7, 14, and 30 days). Each service level is assigned an ASAM LOC of either 3.1 or 3.5, with corresponding CPT codes and per diem rates. The authorization time frame is the number of days for which the service is approved, with a maximum of 7, 14, or 30 days depending on the service level. Daily and weekly limits are also specified.
The document does not provide any pricing terms, set asides, incumbents, funding requirements, or other salient information. It appears to be focused solely on defining the authorization parameters for the various residential services under the RCC program.
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Text version
Exhibit 2L - Recovery Court Contract (RCC) ASAM Residential LOC Authorization Parameters SFY 2025 Effective 07/01/2024 Revised 04/08/2024
Service 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)
Type/Modality Residential Residential Residential Residential Residential Residential
ASAM LOC Level 3.1 Level 3.1 Level 3.1 Level 3.5 Level 3.5 Level 3.5
CPT Code H2034 HF H2034 HF H2034 HF H0026T2 HF H0026T2 HF H0026T2 HF
Maximum units per Authorization 7 14 30 7 14 30
Authorization time frame (days) 7 14 30 7 14 30
Unit Per diem Per diem Per diem Per diem Per diem Per diem
Daily Limits 1 1 1 1 1 1
Weekly Limits 7 7 7 7 7 7
# of days at which initial ERL needed
# of days at which ERL can be submitted
Authorization RED ZONE (67% of annual allocation) Adult Annual Client Limits
(units)
Rate Per Unit
Authorization Value $0 $0 $0 $0 $0 $0
Shared Service Name
Recovery Court Contract (RCC) Contract - Adult Residential
ASAM Level of Care Authorization Parameters
NA
NA
NA
Halfway House Long Term Residential
$0
NA
NA
NA
NA NA
$0
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