How will Level D-1, Residential Intoxication Monitoring Service, be funded since it is not based on medical necessity?
While this service is not likely to be funded by private or public insurance because it is not a medical service, other funding sources may be available. This level of care most closely resembles the level currently known as “Social Setting Detoxification,” which is usually funded through county funding systems, foundations or other grants. It is important to note that this level is an intoxication monitoring service. If withdrawal symptoms develop, the individual should be referred to the appropriate level of withdrawal service, if necessary. Individuals in Level D-1 may never have a diagnosis of either dependency or abuse, and, in fact, may not develop any significant withdrawal symptoms. Return to the top of the list.
Related Questions
- What are my possible next steps with a medical necessity denial (CO-50, remark code N115) based on a Local Coverage Determination (LCD)?
- How will Level D-1, Residential Intoxication Monitoring Service, be funded since it is not based on medical necessity?
- Does the physician have to demonstrate medical necessity when appealing a denied claim or service?
