Outpatient Behavioral Health Services

Outpatient Behavioral Health services include:

  • Assessment
  • Treatment (individual medical evaluation and management) including
    • medication management
    • individual and group therapy
    • behavioral health counseling
  • Family therapy
  • Psychological testing

Fee Schedules

Clinical Coverage Policy #8C, Outpatient Behavioral Health Services Provided by Direct-Enrolled Providers

Questions and Answers from the November 2011 Outpatient Seminars

Outpatient Behavioral Health Forms

Certification of Need: Medicaid Inpatient Psychiatric Services Under Age 21

Certification of Need: Psychiatric Residential Treatment Facility Service Under Age 21

Criterion V Request Form

Instructions for Use of Service Needs/Discharge Planning Status Form

Please refer to ValueOptions NC Medicaid for forms and instructions for Health Choice, children ages 0 – 3 (except children enrolled in the Innovations waiver), legal aliens and Cumberland Hospital Admissions.

  • Inpatient Treatment Report (ITR)
  • Outpatient Review Form (ORF2)
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