Network180 - FY17 1/12th Payments and Encounter Submission SUD ARB - Arbor Circle

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1 Network180 - FY17 1/12th Payments and Encounter Submission SUD ARB - Arbor Circle 1) SA Family Engagement ARB Family Engagement 9397 H0004 $12, Month ARB Family Engagement 9397 H0004 $13, Month ARB Family Engagement $ Month ARB Family Engagement $ Month ARB Family Engagement 9399 H0006 $10, Month ARB Family Engagement 9399 H0006 $10, Month ARB Family Engagement 9404 H0038 $9, Month ARB Family Engagement 9404 H0038 $10, Month ARB Family Engagement $5, Month ARB Family Engagement $16, Month 03/31/2017 H Unit 09/30/2017 H Unit 03/31/2017 H Unit 09/30/2017 H Unit 09/30/2017 No 09/30/2017 No

2 9397 H H H H0038 2) Kent County Correctional Facility ARB KC Corrections 9396 H0015 $14, Month ARB KC Corrections 9396 H0015 $14, Month ARB KC Corrections 9397 H0004 $ Month ARB KC Corrections 9397 H0004 $ Month ARB KC Corrections $1, Month ARB KC Corrections $1, Month

3 9396 H ) North County Outreach ARB North County 9397 H0004 $ Month ARB North County 9397 H0004 $ Month ARB North County $4, Month ARB North County $5, Month

4 9397 H ) Second Chance Valued Community Member ARB Second Chance 9397 H0004 $ Month ARB Second Chance 9397 H0004 $ Month ARB Second Chance $12, Month ARB Second Chance $13, Month ARB Second Chance 9405 H0050 $9, Month ARB Second Chance 9405 H0050 $10, Month ARB Second Chance $5, Month 03/31/2017 H Unit 09/30/2017 H Unit 09/30/2017 No

5 9397 H H0050 5) Enhanced Women's Services ARB ENH Women's Services 9404 H0038 $9, Month ARB ENH Women's Services 9404 H0038 $10, Month ARB ENH Women's Services $4, Month 03/31/2017 H Unit 09/30/2017 H Unit 09/30/2017 No 9404 H0038 6) Shelter Treatment Collaborative

6 ARB Shelter Treatment 9396 H0015 $3, Month ARB Shelter Treatment 9396 H0015 $4, Month ARB Shelter Treatment 9397 H0004 $ Month ARB Shelter Treatment 9397 H0004 $ Month ARB Shelter Treatment $8, Month ARB Shelter Treatment $8, Month 9396 H ) Drug Court Seeking Safety

7 ARB Seeking Safety $ Month ARB Seeking Safety 9401 H0038 $1, Month ARB Seeking Safety 9401 H0038 $1, Month 09/30/ Unit 03/31/2017 H Unit 09/30/2017 H Unit H0038 8) Recovery Management Services Management 9397 H0004 $6, Month Management 9397 H0004 $6, Month Management 9400 H0050 $4, Month Management 9400 H0050 $5, Month Management $16, Month 09/30/2017 No

8 9397 H H H H0050 9) For all Non-consumer specific claims not mentioned above, Use consumer Id (ARB Non Consumer). A list of these billing codes are specified below. Please refer to Network180 Allowable Services report for further details. Please follow your provider manual to determine when these can be billed

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