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High mark Blue Cross Blue ShieldBILLING HIGHLIGHTSPsychiatric/Psychological/Substance Abuse Partial Hospitalization Claims (PHP) PLEASE NOTE: Effective September 2, 2014, partial hospitalization (S0201)
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01
Contact a mental health professional or treatment facility offering PHP services.
02
Schedule an assessment to determine if PHP is appropriate for your needs.
03
Fill out necessary paperwork, including insurance information and medical history.
04
Attend scheduled PHP sessions as recommended by your treatment team.
05
Participate in group therapy, individual therapy, and psychiatric appointments as part of the program.
06
Communicate openly with your treatment team about your progress and any challenges you may be facing.

Who needs partial hospitalization programs php?

01
Individuals who require more intensive mental health treatment than outpatient therapy but do not need round-the-clock care in inpatient hospitalization.
02
Individuals struggling with a mental health crisis that requires structured support and supervision.
03
Individuals with co-occurring disorders, such as substance abuse and mental health issues, who would benefit from comprehensive treatment in a structured setting.
04
Individuals who have completed inpatient treatment and are transitioning back to their daily lives but still need additional support and monitoring.
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Partial Hospitalization Programs (PHP) are structured programs that provide intensive mental health treatment for individuals who do not require 24-hour care.
Healthcare facilities that provide partial hospitalization programs are required to file PHP forms.
Partial Hospitalization Programs forms must be completed with accurate and detailed information regarding the patient's mental health treatment.
The purpose of PHP is to provide intensive mental health treatment while allowing individuals to reside at home.
Information such as patient demographics, diagnosis, treatment plan, progress notes, and discharge summary must be reported on PHP forms.
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