N.Y. Comp. Codes R. & Regs. tit. 14 § 506.6

Current through Register Vol. 46, No. 39, September 25, 2024

Section 506.6 - Standards pertaining to reimbursement for supportive case management services

(a) In order to receive reimbursement for the provision of services, a provider of a supportive case management program shall provide services to persons who are enrolled as clients of the provider of services. Such individuals shall be in need of less intensive support than that provided in the intensive case management program.

(b) A minimum of two face-to-face contacts within a month between a supportive case manager and an active client shall be considered a billable service.

(c) A face-to-face contact between a supportive case manager and an active client shall be counted as a separate contact for purposes of reimbursement per patient day regardless of the number of face-to-face contacts provided or other outpatient programs in which the active client participates in a single day.

(d) While awaiting discharge from the supportive case management program, a client shall be considered on transitional status and may receive one contact per month for a period of two months prior to discharge. The one contact per month during this time period is a billable service.

(e) Each provider of services shall furnish any and all information and records concerning the provision of supportive case management services which may be requested by the Office of Mental Health. Such information and records shall be provided as the Office of Mental Health may prescribe including but not limited to, the program of services, individual client specific services and statistical, administrative and fiscal operations carried out under the agreement.

(f) Collateral contacts shall not be counted as a billable service for the supportive case management program.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 506.6