Provider Notice issued 06/27/12

Change to Group Psychotherapy Effective July 1, 2012

To:​ Enrolled Institutions for Mental Disease (Provider Type 38), Nursing Facilities (Provider Type 33), Physicians and Transportation Providers​
​Date: ​June 27, 2012
​Re: Change to Group Psychotherapy Effective July 1, 2012​

As a result of Public Act 097-0689 (pdf), referred to as the Save Medicaid Access and Resources Together (SMART) Act, HFS is implementing the following change to group psychotherapy.

Effective July 1, 2012, HFS is eliminating coverage of group psychotherapy (procedure codes 90853 and 90857) for participants who are residents in a nursing facility, including a nursing facility classified as an institution for mental diseases, or a facility licensed under the Specialized Mental Health Rehabilitation Act.

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565.

Theresa A. Eagleson, Administrator

Division of Medical Programs