Billing

It is important to consider all the ways in which delivering effective, measurement-based integrated behavioral health treatment will add value to your organization. This resource can help you think about common domains of integrated care as you plan to launch your model of 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.

The Centers for Medicare and Medicaid Services have an updated fact sheet detailing 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 Behavioral Health Integration services.

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.

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) answers frequently asked questions about billing Medicare for care management services in Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

This two page handout summarizes the AMA CPT codes for payments for the overall treatment of OUD.

Ensuring that a patient understands the Collaborative Care (CoCM) program before agreeing to participate is a crucial task for primary care providers. This resource provides general guidance on obtaining verbal consent from patients to participate in CoCM. Please note that these are general tips and that specific consent requirements may vary by state and patient …

A description of seven funding mechanisms for depression care management.

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.”

An article published in the New England Journal of Medicine discusses the Center for Medicare and Medicaid Sevices’ payment codes for behavioral health integration.