The OBOT supplement changes refer to a discharge note saying "the provider must document the following in the member's record" when the patient is discharged. Does this refer to the prescribing provider or the behavioral health provider? The changes do not indicate which one has the requirement.
the manual says that a diagnostic assessment is required. Who is required to do the diagnostic assessment? The BH or the Medical provider?
It states the CSAC can do the multidimensional assessment but there is no method of billing for this service. I have been told before that this service is wrapped up in the overall rate. However, OBOTs do not have and "overall rate" like an IOP or inpatient. Instead, it is per service. How does CSAC's multidimensional assessment get reimbursed for in an OBOT?
It seems that the changes making it clearer that a CSAC can be the primary counseling component of an OBOT as long as they are supervised by a licensed person. Is this correct?
Thank you for responding to my questions. I see several good things in the changes. I am also hopeful that OBOTs will eventually become OBATs and extend their reach for people with any SUD.
