| H0001 |
Alcohol and/or drug assessment |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
| H0006 |
Alcohol and/or drug services; case management |
| H0007 |
Alcohol and/or drug services; crisis intervention (outpatient) |
| H0008 |
Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) |
| H0009 |
Alcohol and/or drug services; acute detoxification (hospital inpatient) |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
| H0013 |
Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
| H0017 |
Behavioral health; residential (hospital residential treatment program), without room and board, per diem |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
| H0021 |
Alcohol and/or drug training service (for staff and personnel not employed by providers) |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
| H0024 |
Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
| H0026 |
Alcohol and/or drug prevention process service, community-based (delivery of services to develop skills of impactors) |
| H0027 |
Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law) |
| H0028 |
Alcohol and/or drug prevention problem identification and referral service (e.g., student assistance and employee assistance programs), does not include assessment |
| H0029 |
Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e.g., alcohol free social events) |
| H0030 |
Behavioral health hotline service |
| H0031 |
Mental health assessment, by non-physician |
| H0032 |
Mental health service plan development by non-physician |
| H0033 |
Oral medication administration, direct observation |
| H0034 |
Medication training and support, per 15 minutes |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
| H0037 |
Community psychiatric supportive treatment program, per diem |
| H0038 |
Self-help/peer services, per 15 minutes |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
| H0040 |
Assertive community treatment program, per diem |
| H0041 |
Foster care, child, non-therapeutic, per diem |
| H0042 |
Foster care, child, non-therapeutic, per month |
| H0043 |
Supported housing, per diem |
| H0044 |
Supported housing, per month |
| H0045 |
Respite care services, not in the home, per diem |
| H0046 |
Mental health services, not otherwise specified |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
| H0049 |
Alcohol and/or drug screening |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
| H1000 |
Prenatal care, at-risk assessment |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
| H1003 |
Prenatal care, at-risk enhanced service; education |
| H1004 |
Prenatal care, at-risk enhanced service; follow-up home visit |
| H1005 |
Prenatal care, at-risk enhanced service package (includes h1001-h1004) |
| H1010 |
Non-medical family planning education, per session |
| H1011 |
Family assessment by licensed behavioral health professional for state defined purposes |
| H2000 |
Comprehensive multidisciplinary evaluation |
| H2001 |
Rehabilitation program, per 1/2 day |
| H2010 |
Comprehensive medication services, per 15 minutes |
| H2011 |
Crisis intervention service, per 15 minutes |
| H2012 |
Behavioral health day treatment, per hour |
| H2013 |
Psychiatric health facility service, per diem |
| H2014 |
Skills training and development, per 15 minutes |
| H2015 |
Comprehensive community support services, per 15 minutes |
| H2016 |
Comprehensive community support services, per diem |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
| H2018 |
Psychosocial rehabilitation services, per diem |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
| H2020 |
Therapeutic behavioral services, per diem |
| H2021 |
Community-based wrap-around services, per 15 minutes |
| H2022 |
Community-based wrap-around services, per diem |
| H2023 |
Supported employment, per 15 minutes |
| H2024 |
Supported employment, per diem |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
| H2026 |
Ongoing support to maintain employment, per diem |
| H2027 |
Psychoeducational service, per 15 minutes |
| H2028 |
Sexual offender treatment service, per 15 minutes |
| H2029 |
Sexual offender treatment service, per diem |
| H2030 |
Mental health clubhouse services, per 15 minutes |
| H2031 |
Mental health clubhouse services, per diem |
| H2032 |
Activity therapy, per 15 minutes |
| H2033 |
Multisystemic therapy for juveniles, per 15 minutes |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
| H2037 |
Developmental delay prevention activities, dependent child of client, per 15 minutes |