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Co-occurring Diagnosis
Good afternoon! This may be a basic question, but at the risk of sounding "un-informed" I'm going to ask it anyway :)
I was recently made aware that a modifier can be used on claims to indicate when a client has a co-occurring diagnosis. For example, a chemical dependency diagnosis along with a mental health diagnosis. I was told that this could potentially result in a higher payments. Do you know if this is the case and what that modifier is?
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If you include it as part of your attestation when you get certified for State of MN as a provider, and you can show that you meet certain criteria as a provider, there is potentially an enhanced rate for CD providers via the consolidated chemical dependency treatment fund. I don't know how this would be impacted if you aren't a Rule 31 provider. For information, if you can find them online, there are a couple of bulletins put out by DHS that clarify the rules around the enhanced rates: The first bulletin was 14-51-01 dated July 10, 2014 and the second bulletin with further clarifications was 15-51-01 dated January 7, 2015 and then there is a CCDTF e-memo #15-15 dated June 2, 2015 which all provide clarifications to the rules and to the first bulletin about who can provide what services and how. I would contact Provider Relations to get more details on whether your agency qualifies or not.
Thank you so much for the info! I appreciate your response.