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Recent Reports
HRSA
SAMHSA/HRSA/CMS
- Reimbursement of Mental Health Services in Primary Care Settings
Summary: The report highlights key action steps that would help to reduce existing barriers to reimbursement for mental health services in primary care settings. Recommendations focus on a variety of stakeholders, including primary care providers, state Medicaid officials, and others billing for mental health services in the public sector. The report was jointly funded by SAMHSA and HRSA, with the technical expertise of CMS. To access the report please click here.
Useful Information
Examples of State Billing Codes for Mental Health Services
SAMHSA has posted a set of tools on mental health billing codes and Medicaid - by provider type. This information should be of interest to safety net providers who want to work with their State Medicaid agencies to consider billing for specific mental health services by specific provider types. At this webpage you will find:
- Mental Health Codes and Payers - a summary table of which codes should be used by different providers of mental health services under both Medicare and Medicaid.
- A document explaining how specific codes are used by different mental health providers to bill under Medicaid; including: 1) a table with the most frequent codes used to bill state Medicaid for mental health services, and 2) a table listing billing codes used to bill state Medicaid by provider type.
For more information, please go to: http://hipaa.samhsa.gov/hipaacodes2.htm