Community Behavioral Health Providers - Supervisor Pricing Changes Begin July 1 [Corrected Date]
Client AlertEffective July 1 [corrected date], community behavioral health providers wishing to receive reimbursement at the supervisor rate must add the HP or HT Modifier to fee-for-service (FFS) claims. An HP Modifier needs to be added for services provided by a supervised trainee/assistant under supervision of an MD/DO, PSY, CNS, CNP, or PA. An HT Modifier needs to be added for services provided by a supervised trainee/assistant under supervision of an LISW, LIMFT, LPCC, LICDC (SUD only), Lic school PSY, LSW, LMFT, LPC, LCDC III (SUD only), and LCDC II (SUD only).
Supervisor pricing is allowed for the following service codes:
|
Code |
Description |
|
90785 |
Interactive Complexity |
|
90791 |
Psychiatric Diagnostic Evaluation w/o Medical |
|
90832 |
Individual Psychotherapy – 30 minutes |
|
90834 |
Individual Psychotherapy – 45 minutes |
|
90837 |
Individual Psychotherapy – 60 minutes |
|
90839 |
Psychotherapy for Crisis – first 60 minutes |
|
+90840 |
Psychotherapy for Crisis – additional 30 minutes |
|
90846 |
Family Psychotherapy w/o Patient – 50 minutes |
|
90847 |
Family Psychotherapy w/Patient present – 50 minutes |
|
90849 |
Multiple-family Group Psychotherapy |
|
90853 |
Group Psychotherapy (not multiple family group) |
|
99406 |
Smoking and Tobacco Use Cessation Counseling – Intermediate: greater than 3 minutes and up to 10 minutes |
|
99407 |
Smoking and Tobacco Use Cessation Counseling – Intensive: greater than 10 minutes |
Providers do not need to resubmit claims that were submitted prior to or on June 30 [corrected date].
Please contact BMD Healthcare Member Daphne Kackloudis at dlkackloudis@bmdllc.com or Attorney Jordan Burdick at jaburdick@bmdllc.com with any questions you may have regarding the implementation of these new guidelines.