016.06.05 Ark. Code R. 024
Medicaid (Medical Assistance) is designed to assist eligible Medicaid recipients in obtaining medical care within the guidelines specified in Section I of this manual. Reimbursement may be made for Rehabilitative Services for Youth and Children (RSYC) when provided to eligible Medicaid recipients by qualified providers.
Persons and entities that are excluded, or debarred under any state or federal law, regulation or rule are not eligible to enroll, or to remain enrolled, as Medicaid providers.
The following pages contain a listing of Arkansas Medicaid Rehabilitative Services for Youth and Children (RSYC) Codes that pertain to services covered by the Division of Youth Services (DYS). It is important to use the Medicaid code listing. All codes must have five digits.
Procedure Code | Required Modifier | Description |
96100 | UB | PSYCHOLOGICAL TESTING BATTERY This code will only be used for the retroactive billing period. 1 unit = test battery |
H2020 | - | EMERGENCY SHELTER 1 unit = 1 day |
H2020 | U1 | THERAPEUTIC FOSTER CARE 1 unit = 1 day |
H2020 | U2 | THERAPEUTIC GROUP HOME 1 unit = 1 day |
H2020 | U4 | RESIDENTIAL TREATMENT SERVICES 1 unit = 1 day |
90801 | - | DIAGNOSIS AND EVALUATION 1 unit = 15 minutes |
90804 | - | INDIVIDUAL PSYCHOTHERAPY 1 unit = 15 minutes |
90853 | - | GROUP PSYCHOTHERAPY 1 unit = 15 minutes |
The following pages contain a listing of Arkansas Medicaid Rehabilitative Services for Youth and Children (RSYC) codes that pertain to services covered by the Division of Children and Family Services (DCFS). It is important to use the Medicaid code listing. All codes must have five digits.
Procedure Code | Required Modifier | Description |
90801 | - | PSYCHIATRIC DIAGNOSTIC INTERVIEW EXAMINATION 1 unit = 1 visit |
T1023 | U1 | ASSESSMENT, REASSESSMENT AND PLAN OF CARE DEVELOPMENT 1 unit = 1 visit |
H0032 | U1 | PERIODIC REVIEW OF PLAN OF CARE 1 unit = 15 minutes. Maximum of 2 units per day. |
H2020 | U1 | THERAPEUTIC FOSTER CARE 1 unit = 1 day |
H2020 | U1 | RESIDENTIAL TREATMENT SERVICES 1 unit = 1 day |
016.06.05 Ark. Code R. 024