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Contingency Management

Protocol
The contingency management service code needs to be activated in the relevent programs. This code is called “contingency management” It is billable in 15 minute increments. The code maps to H0050 which in the SmartCare system show up for users as “Contingency Management” the HF modifier will be added to this service code

To track the drug test results do either of the following:

Direct Service Entry:

Each time a note is written update the diagnosis tab to add a secondary diagnosis of either:

  • R82.998: Diagnosis for positive urine test for stimulants.
  • Z71.51: Diagnosis for negative urine test for stimulants.
 
Please Note: We understand that there are many corresponding SNOMED codes to choose from. Any you choose should be okay as they all push to the same ICD-10 code. 

Spreadsheet Upload:

Use the secondary diagnoses tab to record either of the following:

  • R82.998: Diagnosis for positive urine test for stimulants.
  • Z71.51: Diagnosis for negative urine test for stimulants

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Staff Who Aren't "Providers"

Contingency Management allows people who would usually not be considered “providers” to provide this service. Make sure these people have the Non-LPHA user role, which will give them permissions to create service notes and be selected as a provider for a service. We recommend setting them up as “Other Qualified Provider”, both as a taxonomy code and as a license type, as the state considers them qualified to provide this service (with training). We also recommend that these providers get an NPI. If they don’t have one and need to bill under someone else’s, follow the instructions on the page How to Setup a Student Intern under the section “If the Provider Doesn’t Have an NPI.”