Washington Mental Health Fee Schedule and Billing Guidelines are documents that provide information regarding reimbursements to mental health providers for services rendered to Medicaid eligible individuals. They are applicable to all Medicaid-enrolled mental health providers in the state of Washington. The Fee Schedule and Billing Guidelines outline the procedures for submitting claims, rules for reimbursement, and established payment rates for services. The guidelines are divided into two types: the Washington State Health Care Authority (HCA) Fee Schedule and the Washington State Department of Social and Health Services (DSS) Fee Schedule. The HCA Fee Schedule is applicable to all mental health providers in the state who are enrolled in Medicaid and provides information on reimbursements for all Medicaid-covered services, including those provided in an inpatient or outpatient hospital setting. The DSS Fee Schedule is applicable to mental health providers who are enrolled in the Apple Health (Medicaid) program and provides information on reimbursements for Apple Health-covered services, including those provided in an inpatient or outpatient hospital setting. This fee schedule also includes rules and procedures for submitting claims and additional payment rates for services rendered to Apple Health beneficiaries. Both the HCA and DSS Fee Schedules and Billing Guidelines are updated regularly to reflect any changes in reimbursement rates and applicable regulations.
Washington Mental Health Fee Schedule and Billing Guidelines
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About two weeks after you enroll in Washington Apple Health, you will receive a Services Card (also called a ProviderOne card) like the one pictured here. Keep this card. Your Services Card shows your client number, which you need to receive health services. You do not need to activate your new Services Card.
Codes 99234?99236 are reported for evaluation and management (E/M) services provided to a patient who is admitted and discharged from a hospital inpatient or observation stay on the same date (ie, 1 calendar day). The code numbers will remain the same in 2023.
Effective January 1, 2023: ? E/M Introductory Guidelines related to Hospital Inpatient and Observation. Care Services codes 99221-99223, 99231-99239, Consultations codes 99242- 99245, 99252-99255, Emergency Department Services codes 99281-99285, Nursing Facility Services codes 99304-99310, 99315, 99316, Home or.
A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.
CPT Codes 90846 and 90847 represent family psychotherapy services for the treatment of mental disorders.
Diagnostic psychiatric evaluation is reported with 1 of 2 CPT codes. CPT code 90791 is psychiatric evaluation without medical E&M, and CPT code 90792 is psychiatric evaluation with medical E&M.
Procedure Code 99214 Reimbursement Rates ? Medicare CPT CodeService TimeRate9921210 minutes$46.139921315 minutes$68.109921425 minutes$110.439921540 minutes$148.33