CO · guidance
CO HCPF Psychiatric Residential Treatment Facility and Out-of-state High Intensity Residential Treatment (OHIRT) Provider Billing Manual — Billing Information
BillingInformation
RefertotheGeneralProviderInformationManuallocatedontheBillingManualswebpageundertheGeneralProviderInformationdrop-downmenuforgeneralbillinginformation.HealthFirstColoradobenefitsareprovidedthroughPsychiatricResidentialTreatmentFacilities(PRTFs)andOut-of-stateHighIntensityResidentialTreatment(OHIRT)Providerstoenrolledmemberswhoresideinthefacilityonaper-diembasis.
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PRTFsandOHIRTsareresponsibleforprovidingclinicalservicestomembersresidingintheirfacilities.
ThefollowingcodecanbebilledforservicesprovidedinaPRTF/OHIRT:
Code
Description
0911
TreatmentinaPRTF,perdiem(1unitperday)
ThePRTF/OHIRTrateisinclusiveofallservicesprovidedtothechildinthefacility,byfacilitystaff,aspartofthechild’sPlanofCare.Servicesprovidedoutsidethefacilityorbynon-facilitystaffarebilledseparatelyasfee-for-service(FFS).ExamplesofFFSclaimsthatmaybebilledseparatelymayincludeDentalorVisionservices.
TheResidentialProviderBillingandPolicyslidesareavailableonline.
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Provenance
- Source
- hcpf.colorado.gov
- Retrieved
- 2026-07-26
- Edition
- 2026-07-26
- Content hash
3dd1b2b793482de28db522275396ba47c9e609dff3f20527ac48714d105e60eb
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