Rule 5160-43-08 | Specialized recovery services program billing procedures and payment rates for recovery management.
(A) Definitions of terms used for billing and calculating rates.
(1) "Billing unit" as used in column 4 of paragraph (C) of this rule, means a single fixed item, amount of time or measurement.
(2) "Unit rate" as used in column 3 of paragraph (C) of this rule, means the amount reimbursed by the Ohio department of medicaid (ODM) for each fifteen minutes of service delivered.
(C) Recovery management billing code table.
|Column 1||Column 2||Column 3||Column 4|
|Billing code||Service||Unit rate||Billing unit|
|T1016||Recovery management||$19.00||15 minutes|
(D) Claims shall be submitted to ODM via the medicaid information technology system (MITS), and paid in accordance with Chapter 5160-1 of the Administrative Code.
Last updated October 15, 2021 at 8:29 AM