|
Outpatient Services
|
Fee Per Hour
|
|
Ancillary-Case Management**
|
56.00
|
|
Assessment
|
40.00 per 30 minute unit
(up to six units)
|
|
Case Management**
|
56.00
|
|
Crisis Management
|
84.00
|
|
Group/Family Group Counseling
|
25.00
|
|
Individual/Family Member/Family Unit Counseling
|
80.00
|
|
Intensive In-Home Services**
|
85.00
|
|
Therapeutic Child Treatment (TCT)**
|
7.00 per 30 minute unit
(up to 8 units)
|
|
Therapeutic Child Treatment Home Visit
|
38.50 (Flat Rate)
Per Visit Per Week
|
|
Treatment Team Meeting With Client Present
|
70.00
|
| |
|
|
Other Outpatient Services
|
|
|
Intensive Outpatient Services (IOP)
|
28.00 per group hour
|
|
Day Treatment Services
|
28.00 per group hour
|
| |
|
|
Packaged Program Service
|
Total Fee
|
|
Alcohol and Drug Safety Action Program (ADSAP)
Education Group
ADSAP Treatment Services
Administrative Fee
Replacement Workbook
|
500.00
Fee per hour see above rates
50.00
22.00
|
|
Alcohol & Drug Awareness Program (ADA)
Administrative Fee
Out-of-State Fee
Rescheduling Fee
|
200.00
50.00
75.00
50.00
|
|
Detention Center Treatment Program
|
400.00
|
|
NOVA
Rescheduling Fee
|
336.00
100.00
|
| |
|
|
Opioid Treatment Program
|
|
|
Permanent/Transient Client Arrangements
Administrative Fee
|
25.00
|
|
Program Fee
New Client (Methadone)
Client entering services from transient status
New Client (Suboxone)
New Client, Office Based (Suboxone)
|
75.00
50.00
125.00
300.00
|
|
Non-Opiate Outpatient Detox
|
160.00
|
|
Transfer Administrative Fee
|
35.00
|
|
Methadone Dosage
|
13.00 per dose
70.00 – 7 doses
270.00 - 4 Week Rate
15.00 per dose (transient)
|
|
Suboxone Dosage
|
15.00 per dose
|
|
Transient Dose Fee
|
15.00 - Methadone
|
| |
|
|
Medical Services
|
Fee Per Service
|
|
New Patient – Office Visit
|
|
|
Problem Focused Office Visit
|
35.00
|
|
Expanded Problem Focused Office Visit
|
55.00
|
|
Detailed
|
80.00
|
|
Comprehensive With Moderate Complexity
|
120.00
|
|
Comprehensive With High Complexity
|
150.00
|
|
Psychiatric Medical Assessment
|
43.00 per 15 minute unit
(up to six units)
|
|
Psychological Testing
|
40.55
|
|
Established Patient – Office Visit
|
|
|
Problem Focused Office Visit
|
25.00
|
|
Expanded Problem Focused Office Visit
|
35.00
|
|
Detailed
|
45.00
|
|
Comprehensive With Moderate Complexity
|
70.00
|
|
Comprehensive With High Complexity
|
105.00
|
|
Femoral Venipuncture
|
15.00
|
|
Urine Drug Screen
|
20.00
|
|
Drug Court Urine Drug Screen
|
5.00
|
|
Laboratory Tests*
|
Per lab fee schedule
|
|
Medications
|
Cost as prescribed
|
| |
|
|
Inpatient Rehabilitation
|
Fee Per Day
|
|
Clinically-Managed High-Intensity Residential Services, Level III.5
|
275.00
|
|
Medically-Monitored Intensive Inpatient, Level III.7
|
325.00
|
|
Clinically-Managed Residential Detoxification, Level III.2-D
|
200.00
|
|
Medically-Monitored Inpatient Detoxification, Level III.7-D
|
425.00
|
| |
|
|
Miscellaneous Fees
|
|
|
Medical Record Copy Fee
|
12.00 up to 10 pages .25 per copy thereafter
|
|
Returned Check Fee
|
25.00
|
|
TIPS/ TOAST Training
|
25.00 per participant
|
