PRP Corner

Training Materials

Participant Guides

• Psychiatric Rehabilitation Program (PRP) - Adults (PDF)
• Psychiatric Rehabilitation Program (PRP) - Minors (PDF)

• Psychiatric Rehabilitation Program (PRP) Minor Functional Impairment Video
• Psychiatric Rehabilitation Program (PRP) Adult - Recording of July 11, 2023 Provider Training:
  • Presentation Recording (Overview of PRP. This video is split up in chapters for easy viewing. Click on the magnifying glass on the top right corner to easily jump from topic to topic. )
  • Incedo Forms Demonstration
  • Functional Impairments (In a video quiz format)

Fee Schedules

State Fiscal Year 2022 (Effective January 1, 2022)

• PBHS PRP Billing Cascade (Eff -07-01-23)
• PBHS PRP and Specialty Programs Rates (Eff-07-01-23)

State Fiscal Year 2021 (Effective January 1, 2021)

• PMHS PRP Billing Cascade (Eff: 01-01-21)
• PMHS PRP and Specialty Programs Rates (Eff: 01-01-21)

State Fiscal Year 2021 (Effective July 1, 2020)

• PMHS PRP Billing Cascade (Eff: 07-01-20)
• PMHS PRP and Specialty Programs Rates (Eff: 07-01-20)

Provider Resources

• PRP Frequently Asked Questions (Updated October 2021)
• PRP/RRP Administrative Denial Checklist (Sample) Rev. 07-06-2023
• Priority Population Diagnosis – 01-12- 2021 (pdf)
• Medical Necessity Criteria  
• ICD-10 Mental Health Diagnosis (Effective 10-01-15) (pdf)

Provider Alerts

• 12-20-21: PRP Clinical Service Form Update
• 09-15-21: Psychiatric Rehabilitation Program Turnaround Time
• 09-15-21: Psychiatric Rehabilitation Program Services (PRP-A, PRP-M) Service Site and Telehealth
• 08-20-21: UPDATE: PRAs and 835s for H2016 Claims
• 08-04-21: Updated Guidance for PRP/RRP Referrals or Documentation of Clinical Collaboration
• 05-17-21: Staggering of PRP Authorizations
• 04-28-21: Child, Adolescent & Transition Age Youth (TAY) PRPs & School Systems 
• 04-20-21: Update to Administrative Denial Checklist for PRP and RRP 
• 03-10-21: Training for PRP Providers
• 03-09-21: PRP-Adult Authorization Requests with SSI/SSDI Eligibility Verification
• 03-01-21: Updates to Medical Necessity Criteria for PRP-M
• 01-07-21: PRP Providers: Updates to PRP Forms
• 12-11-20: PRP Administrative Denials Checklist
• 09-03-20: PRP Frequently Asked Questions and Training Opportunities
• 08-03-20: Psychiatric Rehabilitation Program Referrals (PRP-A/PRP-M) Authorization Administrative Denials
• 07-08-20: RRP and PRP End Dates Corrected
• 06-29-20: Services Requiring the Completion of the DLA-20