Psychological evaluation is
a diagnostic evaluation and testing to study and describe a student’s
developmental, learning, behavioral and other personality characteristics. The Basic Psychological Evaluation does not
include a social history.
To claim Medicaid reimbursement, providers must abide by the following:
·
Evaluations must be provided by NYS licensed and registered
psychiatrist, psychologist or certified school psychologist professionals
to be determined at a later date (updated 2/6/07).
·
Evaluation document signed and dated by the appropriate provider must
be available. The evaluation service must be billed in the month the
evaluation report is completed.
·
The evaluation must be part of the IEP process.
The licensure/certification credentials license
(updated 2/6/07) of the licensed
psychiatrist/psychologists service providers (updated 2/6/07) should be kept on file.
Codes and Fees:
|
SSHSP (NYC) Fee |
5322 |
$
242 |
|
SSHSP (Rest of
State) Fee |
5322 |
$
200 |
|
PSHSP Individual
& Center based (NYC) Fee |
5308 |
$ 288 |
|
PSHSP Individual
& Center based (Rest of State) Fee |
5308 |
$
237 |