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Office of Mental Health

Billing Behavioral Health Medicaid Services Under Managed Care

Billing Behavioral Health Medicaid Services Under Managed Care

Behavioral Health Billing Guidance* PDF Document (May 18, 2017) – The "New York State HARP Mainstream BH Billing and Coding Manual" provides billing mechanics for all the Medicaid fee-for-service "government rate" services under both the Office of Mental Health and the Office of Alcoholism and Substance Abuse Services. This manual should be reviewed in conjunction with the four items below.

Health and Recovery Plans (HARP) Behavioral Health Home and Community Based Services (BH HCBS) Fee Schedule – These are the codes that the HARP plans and HIV-SNPs will be using to bill Medicaid for HCBS services that are provided to HARP enrollees (or HIV-SNP enrolled HARP-eligibles).

Adult BH HCBS Rate Increases PDF Document (21 July 2017)*

Coding Taxonomy* Excell Document (March 4, 2016) – This file provides the required coding construct for billing the OMH/OASAS government rates services.

OMH Government Rates Table * Excell Document (6 October 2017)

Quick Reference Guide: Protections for BH Government Rates PDF Document

Implementation Billing Guidance

Adult BH HCBS Staff Transportation Billing Guidance PDF Document

Claiming Guidance for Clinics, Opioid Treatment (OTP), PROS and ACT PDF Document for claims that utilize the OASAS or OMH unlicensed practitioner ID

Comprehensive Psychiatric Emergency Programs (CPEP) and Extended Observation Beds (EOBs): Submitting Billing (September 29, 2015)

* If you are having accessibility issues with the previous documents, please contact Office of Diversity Management, or call (518) 473-4144.