Mental Health Services Billing Guide Updates Effective December 1

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Apple Health (Medicaid) Provider Alert

The Health Care Authority (HCA) revised the Mental Health Services billing guide effective December 1, 2020.

What has changed?


  • Added expedited prior authorization information for fee-for-service voluntary and involuntary inpatient psychiatric hospital services.
  • Updated coverage information for certain procedure codes applicable to outpatient and inpatient mental health services.
  • Clarified billing requirements for inpatient psychiatric civil commitments for 90 days or longer.

For specific details, see the What has changed table in the revised guide. The Mental Health Services billing guide is located on HCA’s Provider billing guides and fee schedules webpage.