Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street Boston, MA 02111 www.mass.gov/dma

MASSHEALTH
TRANSMITTAL LETTER EIP-15 June 2002
TO:      Early Intervention Programs Participating in MassHealth FROM:      Wendy E. Warring, Commissioner
RE:      Early Intervention Program Manual (Revised Service Codes)
This transmittal letter issues a new Subchapter 6 for the Early Intervention Program Manual, effective April 1, 2002. In addition, it reminds providers that the Division of Health Care Finance and Policy (DHCFP) has adopted new rates for early intervention services, also effective April 1, 2002. Providers can obtain information on the new rates at the DHCFP Web site, found at http://www.state.ma.us/dhcfp/pages/pdf/114.3_49.pdf. While the current service codes have remained the same, there is one new code, X5432, that is being added to Subchapter 6, and that is to be used for Community Child Group sessions. (A definition of “Community Child Group,” including service limitations, can be found on the DHCFP Web site.)   In addition, the descriptors of some of the service codes have been changed to correspond with the changes in the DHCFP regulations.
The Division will revise its early intervention regulations in the near future to reflect these changes to Subchapter 6.
If you wish to obtain a fee schedule, you may purchase Division of Health Care Finance and Policy regulations from either the Massachusetts State Bookstore or from the Division of Health Care Finance and Policy (see addresses and telephone numbers below). You must contact them first to find out the price of the publication. The Division of Health Care Finance and Policy also has the regulations available on disk. The regulation title for Early Intervention Program Services is 114.3 CMR 49.00.

Massachusetts State Bookstore State House, Room 116 Boston, MA 02133 Telephone: 617-727-2834

Division of Health Care Finance and Policy Two Boylston Street Boston, MA 02116 Telephone: 617-988-3100

MASSHEALTH
TRANSMITTAL LETTER EIP-15 June 2002 Page 2
If you have any questions about other information in this transmittal letter, please contact MassHealth Provider Services at 617-628-4141 or 1-800-325-5231.
NEW MATERIAL
(The pages listed here contain new or revised language.)
Early Intervention Program Manual
Pages vi, 6-1, and 6-2
OBSOLETE MATERIAL
(The pages listed here are no longer in effect.)
Early Intervention Program Manual
Page vi — transmitted by Transmittal Letter EIP-13
Pages 6-1 and 6-2 — transmitted by Transmittal Letter EIP-14

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series
EARLY INTERVENTION PROGRAM MANUAL	SUBCHAPTER NUMBER AND TITLE
TABLE OF CONTENTS	PAGE
vi	

	TRANSMITTAL LETTER
EIP-15	DATE
04/01/02	
6. SERVICE CODES AND DESCRIPTIONS
Service Codes and Descriptions 		6-1
Appendix A. DIRECTORY 		A-1
Appendix B. ENROLLMENT CENTERS 		B-1
Appendix C. THIRD-PARTY-LIABILITY CODES 		C-1
Appendix W. EPSDT SERVICES: MEDICAL PROTOCOL AND PERIODICITY
SCHEDULE 		W-1
Appendix X. FAMILY ASSISTANCE COPAYMENTS AND DEDUCTIBLES 		X-1
Appendix Y. REVS CODES/MESSAGES 		Y-1
Appendix Z. EPSDT SERVICES LABORATORY CODES 		Z-1

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series
EARLY INTERVENTION PROGRAM MANUAL	SUBCHAPTER NUMBER AND TITLE
6 SERVICE CODES AND DESCRIPTIONS	PAGE
6-1	

	TRANSMITTAL LETTER
EIP-15	DATE
04/01/02	
601 SERVICE CODES AND DESCRIPTIONS
Service
Code       Service Description
X2314     Child visit (two hours maximum), per 15-minute unit
X2313	at hospital, per 15-minute unit
X2312	at day-care center, per 15-minute unit
X2315     Center-based individual visit (two hours maximum), per 15-minute unit
X2316     Early intervention-only child group session (two-and-a-half hours maximum), per 15-minute
unit, per member X2317     Parent-focused group session (two hours maximum), per 15-minute unit, per member X2318     Screening (two working hours maximum), per working 15-minute unit X2319     Assessment (10 working hours maximum), per working 15-minute unit X5432     Community child group session (two-and-a-half hours maximum), per 15-minute unit, per
member

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series
EARLY INTERVENTION PROGRAM MANUAL	SUBCHAPTER NUMBER AND TITLE
6 SERVICE CODES AND DESCRIPTIONS	PAGE
6-2	

	TRANSMITTAL LETTER
EIP-15	DATE
04/01/02	
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