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Title: Section 86-8.14 - Non-APG payments

Effective Date

06/02/2010

Section 86-8.14 Non-APG payments

(a) Psychotherapy services by clinical social workers. To the extent authorized pursuant to section 2807(2-a) of the Public Health Law, payments for individual psychotherapy services provided by clinical social workers, as defined by section 86-4-9 of this Subpart, shall be established at $40.64 for encounters lasting between twenty and thirty minutes and at $62.33 for encounters lasting between forty-five and fifty minutes and at $69.93 for family therapy encounters lasting between forty-five and fifty minutes.

(b) Wheelchair evaluation services. Payments for comprehensive wheelchair evaluations, which shall include assessments, fittings and training consisting of at least two hours of direct patient care services, shall be established at $302.

(c) Eyeglasses dispensing. Payments for dispensing eyeglasses shall be established at $89.77, plus capital, when such service includes the cost of providing the eyeglasses and at $38.05, plus capital, when such service does not include the cost of providing the eyeglasses. The capital add-on per visit for each provider shall be the provider’s capital add-on per visit as otherwise calculated pursuant to applicable provisions of section 2807(2) of the Public Health Law.

Volume

VOLUME A-2 (Title 10)

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