To: Enrolled Physicians, Licensed Clinical Psychologists, Licensed Clinical Social Workers, Behavioral Health Clinics and Community Mental Health Centers
Re: Reimbursement Increase for Community-Based Behavioral Health Services
This notice announces a reimbursement increase per Public Act 101-0007 for community-based behavioral health providers retroactive to July 1, 2019.
Procedure code rates in effect on June 30, 2019 have been increased by 2.5% effective with dates of service on and after July 1, 2019. Certain add-on payments have also been increased for dates of service July 1, 2019 through June 30, 2020. The fee schedule for providers of community-based behavioral health services has been updated to reflect these changes.
The Department will not adjust any claims that have already been adjudicated and paid at the old rates. Providers will need to submit replacement claims if the provider’s usual and customary charges would prompt the replacement claims to adjudicate at the updated higher rates.
Questions regarding this notice may be directed to a community mental health billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565, option sequence 1, 2, 4, then 8.