Psychological counseling –
treatment services involving an individual student or groups of children using
a variety of techniques to assist the student in overcoming behavioral and
emotional difficulties. Counseling shall
be limited to services provided to children whose severe behavioral or
emotional problems require ongoing therapeutic counseling intervention.
To claim Medicaid reimbursement, providers must
abide by the following:
·
Psychological counseling services must be listed on the IEP (see Note).
·
Psychological counseling services may be provided by a NYS registered
and licensed psychiatrist, psychologist, certified school psychologist,
registered and licensed master social worker, and licensed clinical social
worker, certified school social worker or certified school counselor. (updated 2/6/07)
·
A listing of professionals
who can provide psychological counseling services billable to Medicaid will be
provided at a later date (updated 2/6/07).
·
There should be at least quarterly progress notes prepared, by the
service provider signed and dated by the appropriate registered and
licensed or certified (updated 2/6/07) service
provider and signed by the NYS licensed (updated 1/11/06) physical
therapist psychologist (updated 10/24/05.)
We recommend use of the progress notes sent home to parents (Part 200 of
the Regulations of the Commissioner of Education). Refer to page 11 for documentation requirements.
NOTE:
Services indicated on the IEP may be provided intermittently, however,
this must also be indicated on the IEP.
Where frequency and duration are required on the IEP, state on the IEP
that the service will be provided intermittently and note the reason why the
student’s disability makes it necessary.
The licensure/certification credentials license
(updated 2/6/07) of the professionals service
providers (updated 2/6/07) should be kept on file.
Codes and Fees:
|
SSHSP
Monthly Fee |
5329 |
$ 223 |
|
PSHSP
Individual Monthly Fee |
5306 |
$ 278 |
|
PSHSP
Center based Monthly Fee |
5307 |
$ 373 |