Washington State Mental Health Billing Guide

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Mental Health Services Billing Guide - Washington State …

(6 days ago) WEBHealth is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority. Refer also to HCA’s . ProviderOne billing and resource guide. for valuable

https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20210901.pdf

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Provider billing guides and fee schedules Washington State …

(Just Now) WEBProvider billing guides and fee schedules Washington State Health Care Authority. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) for …

https://www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules

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Chapter 17: Mental Health Services - Labor & Industries (L&I

(6 days ago) WEBmental health services for State Fund and self-insured claims, see . WAC 296-21-270. and WAC 296-14-300. For information about mental health services policies for the . Crime Victims’ Compensation Program, see WAC 296-31. These services (CPT® billing codes) aren’t covered:

https://lni.wa.gov/patient-care/billing-payments/marfsdocs/2022/2022MARFSChapter17.pdf

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Mental Health Services - staging.hca.wa.gov

(3 days ago) WEBMental Health Services Billing Guide . July 1, 2020 . Every effort has been made to ensure this guide’s accuracy. If an actual or apparent conflict between this Washington Apple Health is the name used in Washington State for Medicaid, the children's health insurance program (CHIP), and state-only funded health care …

https://www.staging.hca.wa.gov/assets/billers-and-providers/mental-health-svc-bi-20200701.pdf

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Mental Health Care Coding Kaiser Permanente Washington

(2 days ago) WEBMental health providers must include the following taxonomy code information on both electronic (837p) and paper (CMS-1500) claims: Billing provider taxonomy code: To indicate the type of service provided by the billing entity. Allows us to pay providers more accurately and to better track these limited benefits for our patients.

https://wa-provider.kaiserpermanente.org/provider-manual/billing-claims/codes/bhs-codingreqs

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Billing Guide - Washington

(1 days ago) WEBthe Washington State Department of Social and Health Services that assesses and treats clients with co-occurring mental health and substance use disorders. Managed care organization (MCO) – See WAC 182-538-050. National Provider Identifier (NPI) – See WAC 182-500-0075.

https://www.dev.hca.wa.gov/assets/billers-and-providers/aba_services_20160701.pdf

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Mental Health Services - Labor & Industries (L&I), Washington State

(9 days ago) WEB24-Hour help for substance abuse, problem gambling, and mental health (Department of Social and Health Services) 1-866-789-1511. Employers can take steps to safeguard the mental health of their workers. Mental Health in the Workplace. Providers must use the criteria in the DSM-5 to diagnose mental health conditions.

https://www.lni.wa.gov/patient-care/treating-patients/by-specialty/mental-health-services

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Audio-only behavioral health service codes

(8 days ago) WEBFor SERI, Part II of the Mental Health Billing Guide and the Substance Use Disorder Billing Guide, providers will use modifier FQ; The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

https://content.govdelivery.com/bulletins/gd/WAHCA-31b6d3c

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Associate Level Mental Health Care - Kaiser Permanente

(5 days ago) WEBassociate level therapists or counselors must be supervised and billed by a qualified mental health provider. Billing/Coding Guidelines All claims must be billed according to Centers for Medicare & Medicaid Services guidelines. Policy Definitions Associate - An associate is a pre-licensure candidate who has a graduate degree in a mental health

https://wa-provider.kaiserpermanente.org/static/pdf/provider/billing-claims/assoc-level-mental-health.pdf

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Washington State’s Behavioral Health Benefits Book

(3 days ago) WEBWelcome to Washington State’s Behavioral Health Benefits Book. These services are for people covered by Medicaid. If you aren't enrolled in Medicaid, and need medical, mental health or substance use disorder services, visit www. waHealthPlanFinder.org to apply or call 1-800-562-3022. Medicaid enrollees have access to services for mental

https://www.dshs.wa.gov/sites/default/files/BHSIA/dbh/BHO/Benefits_Book_English.pdf

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Washington State Health Care Authority

(3 days ago) WEBMedicaid Provider Guide Mental Health Services for Children, [WAC 182-531-1400] July 1, 2013 A Billing Instruction . About this guide This guide supersedes all previous Mental Health Services for Children, Psychiatric and Psychological Services Medicaid Provider Guide published by the Washington State Health Care Authority (the agency

https://www.staging.hca.wa.gov/assets/billers-and-providers/mental_health_svc_mpg_07012013-09302013.pdf

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For Fee-for-Service Treatment Providers DSHS

(4 days ago) WEBDirectory of DSHS-Certified Behavioral Health Treatment Agencies; AI/AN Mental Health fee-for-service rates; AI/AN SUD fee-for-service rates; For questions about fee-for-service for AI/AN populations, email [email protected] ; Billing and Payment Information. Crosswalk for ProviderOne Codes and Target Entry (pdf)

https://www.dshs.wa.gov/node/28726

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Health Care Authority Updates Substance Abuse Disorder Billing …

(9 days ago) WEBHealth Care Authority Updates Substance Abuse Disorder Billing Guide Washington State Hospital Association 999 Third Avenue Suite 1400 Seattle, WA 98104. Map / Directions. 206.281.7211 phone 206.283.6122 fax. [email protected]. Staff List.

https://www.wsha.org/articles/health-care-authority-updates-substance-abuse-disorder-billing-guide/

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Mental health service cost and use trends Washington state …

(Just Now) WEBKey findings include: From 2017-2022, the percentage of insurance claims involving a mental health diagnosis increased from 11.83% to 17.43%. In 2022, 18% of enrollees in an urban area had a mental health diagnosis compared to 13.55% in rural areas. In 2022, 7.6% of mental health services were provided by out-of-network providers compared to …

https://www.insurance.wa.gov/mental-health-service-cost-and-use-trends

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Billing and Rendering Taxonomy Requirements - Washington …

(7 days ago) WEBMental health claims: 2083P0901X; Substance use disorder claims: 261QR0405X If billing code H0020, you must also bill 261QM2800X as the rendering/servicing provider; refer to the Washington State Health Care Authority (HCA) Substance Use Disorder (SUD) Billing Guide for more information; Residential …

https://www.chpw.org/bulletin-board/billing-provider-taxonomy-for-chpw-plans/

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Your coverage rights for behavioral health issues Washington …

(4 days ago) WEBIf you or someone you know is experiencing a mental health crisis, call, text or chat 988, the 988 Suicide and Crisis Lifeline for immediate help. If you have a mental health or substance abuse disorder, federal and Washington state laws require your health insurance plan to cover: Behavioral health treatment (psychotherapy and counseling).

https://www.insurance.wa.gov/your-coverage-rights-behavioral-health-issues

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Provider Billing and Claims - Washington State Local Health …

(7 days ago) WEBUse the resources on this page to manage your practice’s billing, or see our Provider Manual for more information. Please note that you can submit electronic or paper claims. CHPW accepts electronic claims via the Availity Clearinghouse. More information is available in our Provider Manual, or you can contact Availity at (800) 282-4548.

https://www.chpw.org/provider-center/provider-training-and-resources/provider-billing-and-claims/

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Billing Guidelines for Health and Behavior Assessment Codes

(2 days ago) WEBJanuary 26, 2017. There continues to be confusion on how to correctly bill the Health and Behavior Assessment/Intervention CPT codes 96150-96155. Per CPT coding guidelines, providers need to know the following key points when submitting these codes: These codes/services are intended to be submitted by non-physician practitioners to identify

https://www.premera.com/wa/provider/news/payment-policies/guidelines-health-behavior-assessment-codes/

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Outpatient Rehabilitation Billing Guide - Washington

(3 days ago) WEBThe Health Care Authority evaluates requests for authorization of covered outpatient rehabilitation services that exceed limitations in this billing guide on a case-by-case basis in accordance with WAC 182-501 0169. The provider must justify that the request is medically necessary (as defined in WAC 182-500-0070) for that client.

https://www.staging.hca.wa.gov/assets/billers-and-providers/op-rehabilitation-bg-20220801.pdf

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Implementation of SSB 5986 and updates to the Balance Billing

(9 days ago) WEBSSB 5986 (PDF, 171 KB) adds ground ambulance balance billing protections to the Balance Billing Protection Act (BBPA). Rulemaking is necessary to revise Chapter 284-43B WAC to include ground ambulance services. This process will also help ensure that affected entities will understand their rights and obligations under the new law.

https://www.insurance.wa.gov/implementation-ssb-5986-and-updates-balance-billing-protection-act-bbpa-r2024-01

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Washington State Launches New 988 Suicide & Crisis Lifeline …

(2 days ago) WEBThe Washington State Department of Health has introduced a new website for the 988 Suicide & Crisis Lifeline, tailored specifically for Washington state residents. The 988 Lifeline is a nationwide, three-digit dialing code that connects individuals experiencing a mental health or substance use crisis with a trained counselor.

https://seattlemedium.com/washington-state-launches-new-988-suicide-crisis-lifeline-website/

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New York State Medicaid Billing Guidelines for Administering …

(1 days ago) WEBPractitioner Administered Drug Update: BrixadiTM Billing Guidance. Effective April 1, 2024, for New York State (NYS) Medicaid fee-for-service (FFS), practitioners must submit a claim for BrixadiTM with a unit of “1” when the drug is administered in a medical office. The Centers for Medicare and Medicaid Services (CMS) has categorized

https://www.health.ny.gov/health_care/medicaid/program/update/2024/docs/mu_no4_apr24_pr.pdf

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SPECIALTY MENTAL HEALTH SERVICES BILLING MANUAL

(6 days ago) WEBthe Specialty Mental Health Services Medi -Cal program (administered by the former Department of Mental Health through 6/30/2012). This Billing Manual pro vides trading partners with a reference document that describes the processes and rules relative to SD/MC claims for SMHS. Trading partners include Mental Health Plans (MHP), Billing

https://www.dhcs.ca.gov/Documents/SMHS-Billing-Manual-May-2024.pdf

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Department of Human Services Commonwealth of Pennsylvania

(9 days ago) WEBOverview. Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an accountable steward of commonwealth resources. DHS Executive Leadership.

https://www.pa.gov/en/agencies/dhs.html

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Mental Health Services Billing Guide - Washington State …

(6 days ago) WEBHealth is the name used in Washington State for Medicaid, the children’s health insurance program (CHIP), and state-only funded health care programs. Washington Apple Health is administered by the Washington State Health Care Authority. MENTAL HEALTH SERVICES BILLING GUIDE

https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20220101.pdf

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Custom Care & Coverage Just For You Kaiser Permanente

(7 days ago) WEBMental health services Pharmacy Shop plans Social health Discover your path to health and wellness. Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 2715 Naches Ave. SW, Renton, WA 98057

https://healthy.kaiserpermanente.org/front-door

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Whales Have an Alphabet - The New York Times

(Just Now) WEBFeaturing Carl Zimmer. Produced by Alex Stern , Stella Tan , Sydney Harper and Nina Feldman. Edited by MJ Davis Lin. Original music by Elisheba Ittoop , Dan Powell , Marion Lozano , Sophia Lanman

https://www.nytimes.com/2024/05/24/podcasts/the-daily/whales-song.html

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Mental Health Services Billing Guide - Washington State …

(6 days ago) WEBApril 1, 2022, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562- 3022. People who have hearing or speech disabilities, please call 711 for relay services.

https://www.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20220401.pdf

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Mental Health Services Billing Guide - dev.hca.wa.gov

(Just Now) WEBApril 1, 2023, and supersedes earlier billing guides to this program. HCA is committed to providing equal access to our services. If you need an accommodation or require documents in another format, please call 1-800-562- 3022. People who have hearing or speech disabilities, please call 711 for relay services.

https://www.dev.hca.wa.gov/assets/billers-and-providers/mental-health-svcs-bg-20230401.pdf

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