Medicaid: Behavioral Health visits and codes
The Department for Medicaid Services began paying for Behavioral Health visits at FQHCs, PCCs and RHCs on Nov. 20, 2007.
Click here for the behavioral health codes that Medicaid has approved to be billed by RHCs, PCCs and FQHCs at their respective PPS rates.
If you do not currently have mental health in your Medicaid Scope, you will need to add it.
The change in regulation allowing clinics to bill for behavioral health services is contained in the services regs (for PCCs and FQHCs: http://www.lrc.ky.gov/kar/907/001/054.htm; and, for RHCs: http://www.lrc.ky.gov/kar/907/001/082.htm)