TJC certification not only raises your organization’s profile within the behavioral health community, in many states it also makes your organization eligible for Medicaid and Medicare reimbursements.
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.”
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.
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.
Medicaid in Minnesota - also known as “Medical Assistance” - is a popular option for many people seeking treatment for Substance Use Disorder in the North Star State.
Colorado’s Health First program has a very robust coverage map for for Medicaid patients seeking addiction treatment and behavioral health services in the state.
The Medicaid unwinding process is making changes to the behavioral health landscape in West Virginia, Hawaii, New Hampshire, Maine, Rhode Island, and Delaware.
Today, let’s look at what the Medicaid unwinding process will look like specifically in Nevada, Arkansas, Mississippi, Kansas, New Mexico, Nebraska, and Idaho.
