The Centers for Medicare and Medicaid Services (CMS) answers frequently asked questions about billing Medicare for care management services in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
There are different ways to bill for integrated behavioral health care depending on your model and staffing. This handout gives a brief overview of basic CPT and Medicare billing codes for behavioral health integration and Collaborative Care.
Remember to check with your state and all payers to determine the necessary qualifications for the designated billing providers. Not all states or payers reimburse for every code.
Last updated: 4/26/2021
The Centers for Medicare and Medicaid Services released a fact sheet detailing the four G codes that can be used to bill for behavioral health integration (BHI) and Collaborative Care Model (CoCM) services.
This two page handout summarizes the AMA CPT codes for payments for the overall treatment of OUD.
Since hosting monthly finance office hours, the AIMS Center has compiled the most asked questions and their answers. Answers address a variety of billing and financing topics including: reimbursement, the CoCM team, general BHI code, patient cost, registry options, telehealth, time tracking and more.
Updated 03/28/2023
The Centers for Medicare and Medicaid Services (CMS) published final rules that allow Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill for Behavioral Health Integration services, Chronic Care Management, and the Collaborative Care Model.
Last updated: 3/18/21
An article published in the New England Journal of Medicine discusses the Center for Medicare and Medicaid Sevices' payment codes for behavioral health integration.
This two page handout summarizes the AMA CPT codes for Behavioral Health Integration services.