| Provider: |
Bruce M. Gale, PhD |
| Vendor Number: |
PL0514 |
| Service Code: |
605 |
| Sub Code: |
MAINT/ASSMT |
| |
|
|
Initial Assessment: |
Subcode: "ASSMT" |
| This code is for
the initial assessment to determine appropriateness
for group and identify initial target behaviors. It may be used for children and
adults. |
| Amount to be funded for
assessment: $250 |
| Flat rate per
assessment. Rate includes: Initial Contact,
Telephone Interview and Preassessment. This is used
for both children and adult groups |
|
|
Child/Adolescent Groups: |
Subcode: "CHILD" |
| This code is to fund for the
L.U.N.C.H. child/adolescent group and is for use for children 8-17
years of age |
| Amount to be funded
for Group: $1933.06** |
| $50.87 per hour,
per consumer with a maximum of 38 hours total (rate includes
Session Facilitation, Parent Group Facilitation, Token
Economy, Web Site Development, and Post Assessment) |
|
**There is a $25
per month materials fee paid by the client or his/her family
for food and prizes |
| |
|
Adult Groups: |
Subcode: "ADULT" |
| This code is to
fund for the adult group and is for use for adults over 17
years of age |
| Amount to be funded
for Group: $2441.76 |
| $50.87 per hour, per consumer
with a maximum of 48 hours total (rate includes Session
Facilitation, Parent Group Facilitation, Token Economy, Web
Site Development, and Post Assessment) |