NOTE: 1. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 30 minutes has elapsed. 2. HSCs 08.19GA, 08.19GZ or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 30 minutes has elapsed. 2. HSCs 08.19GA, 08.19GB or 08.19GZ may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. May be claimed when a patient is referred to a psychiatrist by a registered: occupational therapist, psychologist, community based psychiatric nurse, social worker or speech language pathologist and the provisions that apply to consultations under GRs 4.3, 4.4 and 4.6 are met. 2. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 30 minutes has elapsed. 3. HSCs 08.19GA, 08.19GZ or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. Each subsequent 15 minutes, or major portion thereof, may be claimed at the rate specified on the Price List after the first full 30 minutes has elapsed. 2. The patient's record must include a detailed summary of all services provided including time spent and start and stop times. 3. Communication with the patient and/or the parent/guardian of a patient child can be claimed as part of the service. Time spent on administrative tasks cannot be claimed. 4. May not be claimed on the same day as HSC 03.01AD, 03.01S, 03.01T, 03.03CV, 03.03FV, 03.05JR, 03.08CV, 08.19CV or 08.19CW by the same physician for the same patient. 5. May not be claimed on the same day as an in-person visit or consultation service by the same physician for the same patient.

NOTE: HSCs 08.19GA, 08.19GZ, or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. May be claimed when a patient is referred to a psychiatrist by a registered: occupational therapist, psychologist, community based psychiatric nurse, social worker or speech language pathologist and the provisions that apply to consultations under GRs 4.3, 4.4 and 4.6 are met. 2. HSCs 08.19GA, 08.19GZ, or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: HSCs 08.19GA, 08.19GB or 08.19GZ may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. May be claimed when a patient is referred to a psychiatrist by a registered: occupational therapist, psychologist, community based psychiatric nurse, social worker or speech language pathologist and the provisions that apply to consultations under GRs 4.3, 4.4 and 4.6 are met. 2. HSCs 08.19GA, 08.19GZ or 08.19GB may not be claimed at the same encounter. The total time spent providing the consultation must be claimed using the applicable consultation code.

NOTE: 1. This service is to be claimed using the Personal Health Number of the patient. 2. The relationship of the patient to the person interviewed, must be indicated. 3. The maximum benefit to be claimed by a physician other than a psychiatrist, pediatrician, or a generalist mental health is 2 hours per patient, per benefit year.

NOTE: Refer to notes following 08.19H

NOTE: 1. 08.19F and 08.19H may only be claimed by general practice physicians, generalists in Mental Health, pediatricians, psychiatrists and specialists in Mental Health. 2. 08.19F and 08.19H are to be claimed using the Personal Health Number of the patient, naming the personnel, agencies or organizations involved. 3. 08.19H may be claimed when the physician most responsible for the patient's care has submitted a claim under 08.19F.

NOTE: Refer to notes following 08.19K.

NOTE: 1. Services related to the development of the CTO include: a) Collecting and obtaining collateral information, b) Reviewing but not waiting for lab and other diagnostic information, c) Interviews with police, registered social workers, family, caregivers, facility staff etc., d) Completion of related documents and forms, e) Communication with other health care providers and the physician receiving the patient in their respective community. 2. May not be claimed for travel time or direct psychiatric treatment with the patient. Claims for direct psychiatric treatment should be submitted using the appropriate HSC. 3. The total time spent developing the CTO may be calculated on a cumulative basis over the course of several hours or several days; however, the time spent developing the CTO must be recorded on a session by session basis in the patient's record. The claim for this HSC must be made when the CTO is complete and ready for implementation. 4. May only be claimed by psychiatrists or physicians who are designated to perform this service by Alberta Health Services. 5. May only be claimed once per patient per year. 6. If a CTO has been cancelled and reissued within the year, supporting text is required for payment. 7. Interviews mentioned above may be provided in person as well as by telephone or other telecommunication methods.

NOTE: 1. May not be claimed for travel time. 2. The total time spent developing the CTO may be calculated on a cumulative basis over the course of several hours or several days; however, the time spent developing the CTO must be recorded on a session by session basis in the patient's record. The claim for this HSC must be made when the CTO is complete and ready for implementation. 3. May only be claimed once per patient per year. 4. If a CTO has been cancelled and reissued within the year, supporting text is required for payment.

NOTE: 1. To be claimed by the psychiatrist most responsible, physician designated by Alberta Health Services to perform this service or in the case of examination on apprehension by an emergency room physician. 2. May not be claimed for travel time or direct psychiatric treatment with the patient. Claims for direct psychiatric treatment should be submitted using the appropriate HSC. 3. Benefit includes form completion and communication to community physician(s), and other health practitioners involved in the care of the patient.

NOTE: 1. May be claimed: -if the intent of the session is the therapy of one individual patient, whether or not more than one person is involved in the session. -when a physician assessment has established (during the same or previous visit) that the patient is suffering from a psychiatric disorder. 2. For treatment of non-psychiatric disorders, the appropriate office visit health service code should be claimed.

NOTE: 1. May only be claimed by a psychiatrist (PSYC), a generalist in Mental Health (GNMH) or by a specialist in Mental Health (SPMH) if the intent of the session is the therapy of one individual patient, whether or not more than one person is involved in the session. 2. May be claimed for both referred and non-referred patients with psychiatric disorders. 3. May not be claimed at the same encounter as HSCs 08.11A, 08.11C, 08.19A, 08.19AZ, 08.19AA, 08.19B, 08.19BB, 08.19C or 08.19CC.

NOTE: 1. May only be claimed by a psychiatrist or a generalist in mental health. 2. May only be claimed when the patient meets the criteria outlined in note 3 and the score is identified in the patient's chart at least once every six months. 3. Complex patient is defined as: a. An adult with a Global Assessment of Function (GAF) score of 40 or less. b. A child with a Children's Global Assessment of Function (CGAS) score of 41 or less. 4. May not be claimed at the same encounter as HSCs 08.11A, 08.11C, 08.19A, 08.19AA, 08.19AZ, 08.19B, 08.19BB, 08.19C or 08.19CC.

NOTE: 1. May only be claimed by a psychiatrist or a generalist in mental health. 2. The patient's record must include a detailed summary of all services provided including time spent and start and stop times. 3. Only time spent communicating with the patient and/or the parent/guardian of a patient child can be claimed as part of the service. Time spent on administrative tasks cannot be claimed. 4. May not be claimed on the same day as a virtual visit or consultation by the same physician for the same patient. 5. May not be claimed on the same day as an in-person visit or consultation service by the same physician for the same patient. 6. May only be claimed when the patient meets the criteria outlined in note 7 and the score is identified in the patient's chart at least once every six months. 7. Complex patient is defined as: a. An adult with a Global Assessment of Function (GAF) score of 40 or less. b. A child with a Children's Global Assessment of Function (CGAS) score of 41 or less.

NOTE: 1. May be claimed: -if the intent of the session is the therapy of one individual patient, whether or not more than one person is involved in the session. -when a physician assessment has established (during the same or previous visit) that the patient is suffering from a psychiatric disorder. 2. For treatment of non-psychiatric disorders, the appropriate office visit health service code should be claimed. 3. May not be claimed at the same encounter as HSCs 08.11A, 08.11C, 08.19A, 08.19AA, 08.19B, 08.19BB, 08.19C, 08.19CC or 08.19AZ.

NOTE: 1. May only be claimed by a psychiatrist (PSYC), a generalist in Mental Health (GNMH) or by a specialist in Mental Health (SPMH). 2. May be claimed for both referred and non-referred patients with psychiatric disorders. 3. The patient's record must include a detailed summary of all services provided including time spent and start and stop times. 4. Only time spent communicating with the patient and/or the parent/guardian of a patient child can be claimed as part of the service. Time spent on administrative tasks cannot be claimed. 5. May not be claimed on the same day as other virtual care services or other in-person visit or consultation services by the same physician for the same patient.

Note: 1. When services other than psychiatric treatment, palliative care or chronic pain services are delivered, the most appropriate health service code (e.g., 03.03CV) should be claimed. 2. May be claimed by any physician for palliative care. Palliative care is defined as care given to a patient with a terminal disease such as cancer, AIDS or advanced neurologic disease. Palliative care involves active ongoing multi- disciplinary team care. 3. May be claimed by any physician that is part of an interdisciplinary chronic pain program for a chronic pain visit. A chronic pain visit is defined as pain which persists past the normal time of healing, is associated with protracted illness or is a severe symptom of a recurring condition. A chronic pain visit must be part of a comprehensive, coordinated, interdisciplinary program as defined in General Rule 4.2.5. A physician must be able to demonstrate that they have appropriate chronic pain training and experience. 4. The patient's record must include a detailed summary of all services provided including time spent and start and stop times. 5. Only time spent communicating with the patient and/or the parent/guardian of a patient child can be claimed as part of the service. Time spent on administrative tasks cannot be claimed. 6. May not be claimed on the same day as other virtual care services or other in-person visit or consultation services by the same physician for the same patient.