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Mental health services

Modified: 12/16/2024
Medicare pays for behavioral health services that may improve outcomes for Medicare patients. We encourage all providers to help improve your patient’s behavioral health by recommending these services.
Modified: 12/11/2024
CMS updated Opioid Treatment Program (OTP) information for CY 2025, including payment and locality rates. Access the updates here.
Modified: 8/23/2024
Opioid Treatment Programs (OTPs) provide medications for people diagnosed with an opioid use disorder (OUD). Medicare pays for OTP services for OUD treatment when eligible. Learn more here.
Modified: 7/31/2024
The Office of the Inspector General (OIG) reported Medicare made $17.8 million in potentially improper payments for opioid use disorder (OUD) treatment services furnished by opioid treatment programs (OTPs). Review the report here.
Modified: 7/31/2024
The Office of the Inspector General reported they found Opioid Treatment Program (OTP) providers didn’t always comply with federal requirements when billing for opioid use disorder (OUD) treatment services, including intake activities. Review the report and OTP billing and payment information here.
Modified: 5/15/2024
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more information, please view this article and share these valuable resources and references with your patients.
Modified: 5/13/2024
MM11066 provides details regarding updates to remittance advice messaging which provides supplemental and educational information to hospitals and community mental health centers (CMHC) submitting Partial Hospitalization Program (PHP) claims where the patient did not get the minimum 20 hours per week of therapeutic services required by a PHP plan of care.
Modified: 4/4/2024
BHI is a model of care incorporating behavioral health care into other care, like primary care to improve mental, behavioral, or psychiatric health. We encourage all providers to help improve your patient’s behavioral health.
Modified: 4/4/2024
Psychotherapy for crisis services is appropriate for patients in high distress with life-threatening, complex problems requiring immediate attention. These services can help reduce a patient’s mental health crisis (including substance use disorder) through urgent assessment and history of a crisis state, mental status exam and disposition. We encourage all providers to help improve your patient’s behavioral health.
Modified: 3/27/2024
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.
Modified: 3/7/2024
Medicare covers screenings and treatment for patients with OUD. Services include OUD screenings, office-based treatments, screening, brief intervention, and referral to treatment (SBIRT) and the opioid treatment program. We encourage all providers to explore these services to help improve your patient’s behavioral health.
Modified: 6/19/2014
There are no items in this section at this time.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.