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: 08/23/2023
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.
A report published by SAMHSA that seeks "solutions to the barriers to the reimbursement of mental health services in primary care settings, specifically reimbursement by Medicare and Medicaid."
This two page handout summarizes the AMA CPT codes for payments for the overall treatment of OUD.
This two page handout summarizes the AMA CPT codes for Behavioral Health Integration services.