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Requirements for submitting claims (see handout #7)

For services delivered before 7/01/09

Use existing monthly rate codes for 16 SSHSP services

Requires supporting documentation

For services 7/1/09 – 8/31/09

No reimbursement available

For services delivered 9/1/09 and thereafter

Use encounter based billing for 10 SSHSP services

Requires supporting documentation

Servicing provider must identify services provided for each encounter by CPT code

Medicaid State Plan Amendment (09-61)

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