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: 12/30/2020
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 management (CoCM) services.
The Centers for Medicare and Medicaid Services (CMS) answers frequently asked questions about billing Medicare for behavioral health integration (BHI) services using the four CMS BHI codes.
This two page handout summarizes the AMA CPT codes for Behavioral Health Integration services.
The AIMS Center published recommendations on September 8, 2015 for fee-for-service payments for psychiatric consultants and care manager functions. These comments were published in response to the CMS invitation for comments on proposed rules to cover collaborative care models for Medicare beneficiaries with common behavioral health conditions.
An analysis of the healthcare costs in medically ill fee-for-service Medicare recipients with depression.
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."