Cheat Sheet on CMS Medicare Payments for Behavioral Health Integration Services in Federally Qualified Health Centers and Rural Health Clinics

In November 2017, the Centers for Medicare and Medicaid Services (CMS) published final rules that allow Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) to bill for Behavioral Health Integration services, Chronic Care Managerment, and the Collaborative Care Model. 

Please note: This cheat sheet was updated on November 14, 2017 to reflect the publication of the final rules.

Basic Coding for Integrated Behavioral Health Care

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.