Proposal Would Remove Visit Limit for Medicaid Outpatient Behavioral Health Services

Posted on July 06, 2017

The Medical Services Administration (MSA) recently released a proposed policy to remove the 20-visit limit for outpatient behavioral health services for both Medicaid fee-for-service and Medicaid health plan beneficiaries effective for dates of service on or after Oct. 1, 2017. This change is intended to improve access to care and support coordination of care for outpatient behavioral health services.

Providers may deliver and bill only for services that are within the scope of practice of their profession. Procedure codes used for covered services are subject to change, and providers are encouraged to refer to the Michigan Department of Health and Human Services website for the current list of covered service procedure codes. The list is updated annually and whenever changes are needed.

The MHA encourages hospitals to submit comments on the proposed policy to the MSA by Aug. 9. Members with questions should contact Vickie Kunz at the MHA.

Tags: Medicaid, outpatient behavioral health services, 20-visit limit, MSA, covered service procedure codes, submit comments, proposed policy

Posted in: Issues in Healthcare, Member News

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