| PROVIDER | NAME | ||||||||
| 003101 | CEN-CLEAR CHILD SERV | ||||||||
| Unit | S/A | ||||||||
| Srvc Cat | Service Desc | RU | FS | PA | Eff Date | Lap Date | Rate | Descr | Code |
| 11200000 | CENC PSYCH (INIT 30 MIN) | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1120 |
| 11200000 | CENC PSYCH (INIT 30 MIN) | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1120 |
| 11270000 | GROUP PSYCHOTHERAPY | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 7.00 | 30 MIN | 1127 |
| 11270000 | GROUP PSYCHOTHERAPY | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 7.00 | 30 MIN | 1127 |
| 11280000 | FAMILY PSYCHOTHERAPY | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1128 |
| 11280000 | FAMILY PSYCHOTHERAPY | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1128 |
| 11290000 | COLLATERAL FAMILY PSYCHOTHERAP | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1129 |
| 11290000 | COLLATERAL FAMILY PSYCHOTHERAP | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 26.00 | 30 MIN | 1129 |
| 11300000 | CENC PSYCH (AFT INIT 30MIN) | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 13.00 | 15 MIN | 1130 |
| 11300000 | CENC PSYCH (AFT INIT 30MIN) | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 13.00 | 15 MIN | 1130 |
| 11310000 | CENC MEDICATION MGMT VISIT | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 20.00 | EVENT | 1131 |
| 11340000 | CEN-CLEAR OP-INTAKE | 5031 | 31 | N | 7/1/2001 | 06/30/10 | 75.00 | EVENT | 1134 |
| 11340000 | CEN-CLEAR OP-INTAKE | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 75.00 | Event | 1134 |
| 11350000 | CENC PSYCH ASSESSMENTS | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 80.00 | EVENT | 1135 |
| 11360000 | CENC INITIAL EVALUATION | 5035 | 35 | N | 7/1/2001 | 06/30/10 | 75.00 | EVENT | 1136 |
| 13210000 | SOC REHAB-FAMILY TRAINING | 5031 | 31 | Y | 7/1/2001 | 06/30/10 | 18.50 | Hour | 1321 |
| 13220000 | NYPUM PROGRAM | 5035 | 35 | Y | 10/1/2002 | 6/30/2010 | 15.00 | Hour | 1322 |
| PKG00311 | CEN-CLEAR FBMH FFP | 5035 | 35 | Y | 7/1/2001 | 06/30/10 | 26.93 | 15 min | 1500 |
| PKG00312 | CEN-CLEAR FBMH NON-FFP | 5035 | 35 | Y | 7/1/2001 | 06/30/10 | 26.93 | 15 min | 1505 |