Medicaid Behavioral Health Services Available Using Telehealth

 

With the emergency rule in effect, OhioMHAS certified entities can bill Medicaid for delivering the following services via telehealth. All the Medicaid changes apply to Medicaid fee-for-service (FFS), Managed Care Plan (MCP), and MyCare Ohio Plan (MCOP) services.

  • Evaluation and management of new and existing patients
  • Psychiatric diagnostic evaluation
  • Psychotherapy (individual, group, and family)
  • Psychological testing
  • Smoking cessation
  • Community psychiatric supportive treatment (CPST)
  • Therapeutic Behavioral Services (TBS) and psychosocial rehabilitation (PSR). Please note: TBS group service - hourly and per diem, as defined in 5160-27-06, is not included in the list of services that can be billed to Medicaid when delivered via telehealth.
  • RN and LPN nursing services
  • SUD assessment
  • SUD counseling (individual, group, intensive outpatient group, and partial hospitalization group)
  • SUD case management
  • Assertive community treatment (ACT)
  • Intensive home-based therapy (IHBT)
  • Peer recovery support
  • Behavioral health crisis intervention
  • SBIRT (screening, brief intervention and referral to treatment)
  • Practitioner services rendered to individuals in SUD residential treatment
  • Specialized Recovery Services (SRS)
  • All associated add on codes, with the exception of interactive complexity

 

Medicaid telehealth billing codes for provider type 84s and 95s available HERE.