When the CMS drops a new update to existing codes, it’s considered a “new codeset” - a shiny new box of codes that addiction treatment billers can use to communicate about services rendered with insurance payers.
You can find the entire range of CPT codes accepted for addiction treatment billing at MassHealth in Subchapter 6 of the MassHealth Substance Use Disorder Treatment Manual, under the header, “Substance Use Disorder Treatment Service Codes.”
Medicaid in Tennessee is called TennCare. According to a recent study, well over 65% of all addiction treatment centers in Tennessee accept Medicaid. That number is growing about .1% every year, with a total of 297 facilities treating SUD in Tennessee.
Medicaid in Arizona is called the Arizona Health Care Cost Containment System, or AHCCCS, for short. The vast majority of services delivered through AHCCCS are delivered by managed care health plans, rather than fee-for-service providers.
The Medicaid program in Washington State is nicknamed Apple Health. Washington Medicaid will reimburse for a wide variety of addiction treatment services.
Learn the most common Medicaid CPT codes for addiction treatment in Virginia, and the limitations on peer services, sober living homes and residential treatment in “Old Dominion.”
Learn what treatment service categories are covered under Georgia Medicaid, as well as some of the most common CPT codes you’ll encounter when billing Medicaid for addiction treatment services in Georgia.
New Jersey Medicaid - also known as NJ FamilyCare - can be billed for most kinds of addiction treatment, including outpatient, residential, and medical detox services.
The most common name of Michigan Medicaid is simply Medicaid. However, there are some circumstances where you’ll hear Medicaid plan names such as Healthy Michigan Plan, Children’s Special Health Care Services, MIChild, or Maternity Outpatient Medical Services
Most of the requirements and restrictions Ohio places on addiction treatment for Medicaid patients are common sense rules that are fully informed by ASAM standards of care.
While Florida will cover inpatient, residential, and outpatient treatment for Medicaid patients with SUD, there are a number of services that are not covered under Medicaid rules.
