QUESTIONS AND CORRECT ANSWERS.
VERIFIED 2025/2026.
What is the maximum group rehabilitation units for adults per day you can bill? - ANS 24
What is the maximum group rehabilitation units for children you can bill? - ANS 16
BEHAVIORAL HEALTH SERVICES CONSIST OF: - ANS (1) Mental Health Assessment/Evaluation
Testing
(2) Alcohol and/or Substance Abuse Services Assessment and Treatment Plan Development
(3)Crisis Intervention Services
(4) Medication Training and Support
(5) Individual/interactive Psychotherapy
(6) Group Psychotherapy
(7) Family Psychotherapy
Who are Licensed Behavioral Health Providers (LBHP's)? - ANS (A) Psychologist
(B) Social Worker (clinical specialty only)
(C) Professional Counselor
(D) Marriage and Family Therapist
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,(E) Behavioral Practitioner
(F) Alcohol and Drug Counselor.
(G) A.P.N. - certification in psych. mental health
(H) P.A. with specialized mental health training Practitioners who have completed education
requirements to begin an internship or a postdoctoral fellowship in an accredited clinical
academic training program
(I) L.B.H.P. candidates*
__________ and ___________ must be signed by the practitioner providing the service. -
ANS Assessments
progress notes
Service plans must be signed by the member if over age ______, by the parent or guardian if
under _____, and by the primary LBHP. - ANS 14
18
Billing should be done under this revenue code, not procedure codes: - ANS Behavioral
Health Revenue Code : 513
OHCA Provider Letter 2006-08
American Society of Addiction Medicine (ASAM) - ANS ASAM placement tool determines if
the individual is appropriate for residential level of care services and what specific ASAM level of
care of is most aligned with the individual's needs: ASAM 3.1 (Halfway House), ASAM 3.3 (Co-
Occurring Residential), ASAM 3.5 (Residential/Intensive Residential), or ASAM 3.7 (Medically
Supervised Withdrawal Management).
What are the 6 Principals of Case Management? - ANS People have the capacity to learn,
change and grow
Focus on strengths rather than deficits
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,The client is seen as the director in the helping relationship
The helping relationship is primary and essential
The preferred setting for our work is the natural environment in the community
The community is a resource
Case Management serves persons with mental illness using a strengths based approach. The
aim involves a collaborative effort with the case manager and the consumer that includes: -
ANS Assessing
Linking
Referring
Advocating
Monitoring
To help a client reach their goals what do you need to do? - ANS 1. Change outreach
techniques
2. Incorporate relapse prevention
3. deescalate
4. modify and motivate
To Deescalate a Crisis environment what do you do? - ANS 1. Modify the environment
2. help sustain process
3. encourage, educate, role model
4. educate on mental illness and addiction
5. teach to identify body signs when something is wrong
6. recognize thought patterns when in need to get high
What does MMIS mean? - ANS Medical Management Information System
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, ________ verifies clients eligibility for Soonercare against the MMIS. - ANS PICIS
Where do you submit the PA adjustment with supporting documents? - ANS PICIS
Medical Needs Criteria only applies if currently ___________. - ANS Homeless or if they have
been inpatient in the last 5 years.
Who does this apply to: customer follow-up, engagements, or rehab services are billed on a
separate code that will not count against their units? - ANS Case Management
CM II's are eligible to provide ____________. - ANS Behavioral Rehabilitation Services and
Case Management
Who qualifies for Behavioral Rehabilitation? - ANS 1. Adults with Serious Mental Illness
2. Children with SED
3. Children with Emotional and Behavioral Disorders
4. Children with 504's or IEP considered "At Risk"
BHR services focuses on beginning, maintaining, and/or enhancing? - ANS Recovery from
Alcoholism, drug abuse, drug dependency
What other services are billed as rehabilitation? - ANS 1. face-to-face services to improve
individual's ability to function
2. services performed to:
improve skills and abilities of individuals to live independently improve self-care, social skills,
promote life-style change
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