Service Description

Service Description: Psychological and other counseling services are diagnostic or active treatments as required by the child's Service Plan provided with the intent to reasonably improve the child's physical or mental conditions. Services include:

  1. Global evaluation to determine a child's developmental status and need for early intervention services (See DEFINITIONS section for further information)
  2. Administering psychological or developmental tests and other assessment procedures to determine the need for psychological or other counseling services;
  3. Interpreting assessment results;
  4. Obtaining, integrating and interpreting information about child behavior and child and family conditions related to learning, mental health and development;
  5. Identifying, mobilizing, and coordinating community resources and services to enable the child and family to receive maximum benefit from early intervention services; and
  6. Planning and managing a program of psychological or other counseling services, including psychological or other counseling for children and parents, family counseling required due to the developmental status of the eligible child, consultation on child development, parent training, and education programs. NOTE: If it is identified that family members may be experiencing mental health problems that are not related to the eligible child's special needs, it is the responsibility of the provider to refer those individuals to resources other than Early Intervention for services.

Family training, education and support provided to assist the family of a child eligible for services in understanding the special needs of the child as related to the services that the provider is licensed to provide and enhancing the child's development are integral to this service. Eligible child is not required to be present but may be if appropriate. May include such services as support groups, individual support and other training or education for the family.

NOTE: Counselors may only provide global evaluation services to determine eligibility for EI services. Once a child has been determined eligible, if further assessment is required to determine the need for counseling services based upon the services identified above, a Counselor Evaluator must complete an assessment that is specific to Counseling services.

Services must be consistent with the provider's qualifications and licensure.

PSYCHOLOGICAL AND OTHER COUNSELING SERVICES - cont.

Qualified Staff: 1) System enrolled Specialist credentialed as a) a Licensed Clinical Psychologist, b) Licensed Clinical Professional Counselor, c) Licensed Marriage and Family Therapist, d) Licensed Clinical Social Worker, e) Board Certified Behavior Analyst or f) School Psychologist employed by a school district, or 2) a non-enrolled Associate credentialed as a Clinical Psychology or Clinical Counseling Intern. Interns must be under the direction of their

internship supervisor, who must be an enrolled Specialist in one of the above licensed fields. (See ATTACHMENT 5: REQUIREMENTS FOR PROFESSIONAL AND ASSOCIATE LEVEL EARLY INTERVENTION CREDENTIALING AND ENROLLMENT TO BILL.)

Billable Activities  Global evaluation, assessment, IFSP development (see DEFINITIONS section for IFSP development definition) and direct service. NOTE: Does not include medical case management.

Do not provide services without having an authorization in hand. Services provided without a pre-approved authorization are not guaranteed for payment.

Psychological and Other Counseling Services

Procedure Codes Modifiers Unit of Service Description Rate
96150 15 minutes Evaluation / Assessment - onsite $16.87
96150 15 minutes Evaluation / Assessment - offsite $20.94
99273 15 minutes IFSP development $16.87
99273 15 minutes IFSP meeting $20.94
96152 15 minutes Individual treatment - onsite $16.87
96152 15 minutes Individual treatment - offsite $20.94
96153 15 minutes Group treatment (multiple families or group not to exceed 4 children) $ 4.21