Rule and Procedure Table of Contents
a) Counseling/Advocacy Services | b) Family Psychiatric Evaluation | c) Family Psychological Evaluation | d) Family Planning Services
a) Counseling/Advocacy Services |
|
1) Individual Counseling Services
Type Service Code Document
0402 Individual Counseling - Service and Expenses CFS 1042
Instructions: Counseling purchased from an individual.
2) Agency Counseling Service
Type Service Code Document
0401 Agency Counseling CFS 1042
Instructions: Counseling services purchased from an agency.
3) Individual Advocacy Services
Type Service Code Document
0404 Individual Advocacy- Service and Expenses CFS 1042
0406 Advocate Medical Exam CFS 932
Instructions: Same as above for individual homemaker/emergency caretaker contracts. Reimbursements for travel time and travel costs shall be part of the contract and shall be made in accordance with DCMS and DCFS Travel regulations. Regional Administrator or designee approval for contract, if utilizing standard rate and program plan; Director for others; Supervisor Team/Leader for payment documents. Rates are same as above for individual homemaker/emergency caretaker services.
4) Agency Advocacy Services
Type Service Code Document
0403 Agency Advocacy CFS 1042
Instructions: Advocacy services purchased from an agency.
b) Family Psychiatric Evaluation |
|
Type Service Code Document
1001 Psychiatric Evaluation and Consultation CFS 1042
Instructions: Family psychiatric evaluations are available when a diagnostic evaluation is necessary to assist in developing a plan for the child's family. For assistance in locating potential providers through DPA, contact the DCFS Regional Medical Liaison. Regional Administrator or designee signature is needed for payment documents. Payment is made at the DPA rate.
c) Family Psychological Evaluation |
|
Type Service Code Document
0441 Psychological Evaluations - Ages 0-5 CFS 417
0442 Psychological Evaluations - Ages 6-11 CFS 417
0443 Psychological Evaluations - Ages 12-17 CFS 417
0444 -- Psychological Evaluations Age 18-Adult CFS 417
0445 Home Based Assessments CFS 417
0446 Other Psychological Evaluation Costs CFS 417
0447 Bonding Assessments CFS 417
0448 Allowance for Court Testimony CFS 417
0450 Brief Dementia Screening CFS 417
0451 Focused Neuropsychological Evaluation CFS 417
0452 Comprehensive Neuropsychological Evaluation CFS 417
Instructions: Psychological
evaluations can be performed by Illinois licensed psychologists approved by
DCFS for the purpose of case planning. If the person to be evaluated resides
outside of Illinois, proof of licensure of the evaluation psychologist from the
other state is required in addition to DCFS credentials. Credentialing
applications are available from the DCFS Division of Clinical Services, 100
West Randolph, Suit 6-100, Chicago, Illinois 60601-3249.
Evaluations must include all applicable and
appropriate testing, test scoring, diagnosis and report writing. To initiate
payment for services, the examining psychologist shall prepare and submit a CFS
1042, Billing Summary. A separate CFS 1042 is not needed for each
type service code. Line 6 should be left blank and the Type Service Code must
be included in Box 18. A copy of the CFS 417, Referral Form for
Psychological Evaluation, must also be completed and pages one and six
submitted with the billing for payment with the necessary authorization
signatures. See Appendix A (II) (e) for amounts.
d) Family Planning Services |
|
Type Service Code Document
1117 Family Planning Services CFS 932
Instructions: Payment may be made for prescription and physician family planning items/procedures when clients receiving DCFS services are unable to assume the medical costs and such services are not otherwise available in the community. Approval of the Regional Administrator or designee is required for payment documents. DPA rate is used.