Instructions For Outpatient CD Providers:
Note: This tool is for dates of service before July 1, 2011.
For dates of service after July 1, 2011, programs should review the
Medicaid Self-Assessment tool that is available off the OASAS APG Webpage.
OASAS developed the Medicaid Billing Self-Assessment tool (which includes instructions and worksheet ) for providers of Outpatient Chemical Dependence Services. The tool simulates Medicaid billing audits and assists clinical supervisors and program directors in conducting periodic self-assessments of their Medicaid patients’ case record documentation for adherence to OASAS case record compliance standards and Medicaid billing requirements. With consistent and effective use of the Self-Assessment tool, providers may continuously monitor and improve their case record documentation procedures and practices and thereby minimize the potential for significant audit disallowances in the event of a Medicaid audit.
Providers are strongly encouraged to complete self-assessments as an integral part of the organization’s quality improvement program and to minimize the risk of disallowances in the event of a Medicaid audit. Self-assessments should be completed at intervals consistent with the suggested frequency criteria noted in the Medicaid Billing Self-Assessment tool instructions .
If you have questions about completing the self-assessment tool, please contact the Provider Relations Unit, at 518-485-2207 or via e-mail at firstname.lastname@example.org. Requests for technical assistance in addressing case record quality improvement opportunities should be directed to the OASAS Regional Field Office.
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