Eligibility & Criteria
What age group and insurance coverage are required for ICC/IHBS eligibility?
under 21
Medi-cal
ICC is an intensive form of what service?
What is Targeted Case Management (TCM)?
What is the primary focus of IHBS interventions (hint: not therapy)?
What is skill-building?
How often must CFT meetings occur at minimum?
What is every 90 days?
What code is always used for Developing a transition/discharge plan?
Intensive Care Coordination
Name at least two child-serving systems a client must be involved with to qualify for ICC.
What are examples like DCFS, Probation, Regional Center, School/IEP, TBS, ABA services?
Who is responsible for facilitating the CFT and ensuring fidelity to the ICPM model?
Who is ICC coordinator?
Name two community settings where IHBS can be provided.
What are home, school, park, library, community settings?
Who must be included in the CFT besides professionals?
Who are natural supports (family members, friends, community members)?
What code is used for external provider consultations?
What is ICC?
True or False: A client involved in only one system (e.g., IEP only) can qualify for ICC.
False — client must be in 2+ systems or have intensive needs beyond TCM
What is the required timeline for the first CFT meeting once ICC is initiated?
What is within 30 days of ICC determination (intake)?
True or False: IHBS requires pre-authorization.
True — IHBS requires pre-authorization.
True or False: The placing agency (DCFS or Probation) leads the CFTM when a youth is involved with them.
True — the placing agency (DCFS or Probation) leads if youth is involved.
What is the code for modeling behavioral strategies for caregiver or client?
What is IHBS?
Give one example of an “intensive need” that might make a client ICC-eligible
What is 2+ hospitalizations, psychotropic medications, placement disruption?
Name one of the four reimbursable ICC service components.
What are Planning/Assessment, Reassessment, Referral/Monitoring/Follow-up, Transition?
Give one example of an IHBS intervention with a caregiver.
What are examples like teaching caregiver de-escalation, modeling routines, or coaching parent in skill reinforcement?
What must a clinician document after every CFTM?
What is documenting the CFT note, participants, and treatment progress in welligent?
What code is used for the Child and Family Team meeting?
What is CFTM?
True or False: A youth with mild depression, no system involvement, and stable functioning qualifies for ICC.
False — mild depression and no cross-system involvement = no ICC.
True or False: ICC can be billed without progress notes if it is only a CFT meeting.
False — every ICC service (including CFT) requires a progress note.
How does IHBS differ from MHRS?
What is IHBS = intensive skill-building, while MHRS = general rehabilitation/therapy services?
Name one responsibility of adjunct providers in CFTMs.
What is to attend and give input on client progress, updates, and coordination with systems?
A clinician provides ICC via a scheduled video call with the caregiver to prepare for an upcoming CFT meeting. What procedure code and modifier should be used, and what must be documented?
Bill ICC. Documentation must specify it was conducted by video, the purpose (coordination for upcoming CFT), duration, and how the activity supported the treatment plan.