BehaveHealth.com

📣 📣 📣Attention sober living home operators! 📣 📣 📣

Medicaid is now covering Peer Support Services in:

📣 Maine

📣 Montana

📣 Rhode Island

📣 Delaware

📣 Wyoming

There are a few states remaining as of this writing that do *not* cover Peer Support Services under their Medicaid program in the US, but these states are, thankfully, no longer among them.

Interested? Want to know more about....coverage limitations?..exclusions?..reimbursement rates?

Click the link for more information as we cover the details state-by-state:

https://soberlivingapp.com/sober-living-app-blog/2024/8/4/are-peer-support-services-medicaid-reimbursable-in-maine-montana-rhode-island-delaware-and-wyoming-for-sober-living-homes

Sober Living App - Are Peer Support Services Medicaid-Reimbursable in Maine, Montana, Rhode Island, Delaware, and Wyoming for Sober Living Homes? Yes! Medicaid absolutely covers Peer Support Services in Maine, Montana, Rhode Island, Delaware, and Wyoming. 

https://soberlivingapp.com/sober-living-app-blog/2024/8/11/narr-rules-and-regulations-updates-for-california-texas-and-florida-sober-living-homesnbsp

Sober Living App - NARR Rules and Regulations Updates for California, Texas, and Florida Sober Living Homes Let’s look at how regulations are evolving in three of the biggest states in the US: California, Texas, and Florida.

⚠️ Attention sober living home operators! ⚠️

Are you expanding into Idaho, West Virginia, Hawaii, New Hampshire, and Vermont?

Do you have questions about Medicaid coverage for peer support services in those states?

Questions like...

❓ Are mental health or behavioral health peer support services covered by my state's Medicaid plan? Both? Neither?

❓ What are reimbursement rates for peer support services in my state?

❓ What regulations exist for peer support providers in my state?

❓ What's the CPT code for peer support services in my state?

Find answers to these questions and more in our latest blog post.

Click the link below to learn more:

https://soberlivingapp.com/sober-living-app-blog/2024/7/28/are-behavioral-health-peer-support-services-covered-in-idaho-west-virginia-hawaii-new-hampshire-and-vermont-for-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Idaho, West Virginia, Hawaii, New Hampshire, and Vermont for Sober Living Homes? Need-to-know information on Medicaid reimbursement and coverage for Peer Support Services for sober living home operators in Idaho, West Virginia, Hawaii, New Hampshire, and Vermont.

https://soberlivingapp.com/sober-living-app-blog/2024/8/4/are-peer-support-services-medicaid-reimbursable-in-maine-montana-rhode-island-delaware-and-wyoming-for-sober-living-homes

Sober Living App - Are Peer Support Services Medicaid-Reimbursable in Maine, Montana, Rhode Island, Delaware, and Wyoming for Sober Living Homes? Yes! Medicaid absolutely covers Peer Support Services in Maine, Montana, Rhode Island, Delaware, and Wyoming. 

Calling all sober living home operators in:

✅ Kansas ✅ New Mexico ✅ Nebraska ✅ North Dakota ✅ Mississippi

Your states are next in our 50-state Peer Support Services (PSS) Medicaid coverage roundup!

Did you know that:

🤓 Kansas Medicaid has been reimbursing for PSS since Summer 2023?

🤓 New Mexico Medicaid has very lax restrictions on PSS coverage?

🤓 Nebraska accepts 4 different PSS CPT codes?

🤓 North Dakota is one of 10 states that uses a Medicaid waiver program (1915i) to fund PSS?

🤓 Mississippi limits Medicaid-reimbursable PSS to Community Mental Health Centers?

It's time to discover if Peer Support Services make sense for your sober living home!

Click to read more eye-opening PSS facts in these states below:

https://soberlivingapp.com/sober-living-app-blog/2024/7/25/are-behavioral-health-peer-support-services-covered-in-kansas-mississippi-new-mexico-nebraska-or-north-dakota-for-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Kansas, Mississippi, New Mexico, Nebraska, or North Dakota for Sober Living Homes? Learn how Medicaid billing for addiction treatment Peer Support Services works in Kansas, Mississippi, New Mexico, Nebraska, and North Dakota.

https://soberlivingapp.com/sober-living-app-blog/2024/7/28/are-behavioral-health-peer-support-services-covered-in-idaho-west-virginia-hawaii-new-hampshire-and-vermont-for-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Idaho, West Virginia, Hawaii, New Hampshire, and Vermont for Sober Living Homes? Need-to-know information on Medicaid reimbursement and coverage for Peer Support Services for sober living home operators in Idaho, West Virginia, Hawaii, New Hampshire, and Vermont.

Are you managing a sober living home in:

✅ Utah

✅ Nevada

✅ Iowa

✅ Arkansas

or

✅ South Dakota?

Did you know that only ONE of those states does *not* have Medicaid coverage for Peer Support Services?

Can you guess which state it is?

🤔 🤔 🤔

Click the link below to read about CPT codes, reimbursement rates, exclusions, copays, and limitations in these states!

And, of course, discover which state is lagging behind the curve on Peer Support Services coverage.

Remember: We're almost through with our survey of all 50 states, so if you're curious about Peer Support Services and Medicaid coverage in a state not listed here, check out our blog for more states.

https://soberlivingapp.com/sober-living-app-blog/2024/7/22/are-behavioral-health-peer-support-services-covered-in-utah-nevada-iowa-arkansas-and-south-dakota-for-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Utah, Nevada, Iowa, Arkansas, and South Dakota for Sober Living Homes? Coverage details, limitations, exclusions, and other surprises for sober living home operators curious about Medicaid coverage for Peer Support Services in Utah, Nevada, Iowa, Arkansas, and South Dakota.

Got Medicaid reimbursement questions about Peer Support Services in Louisiana, Kentucky, Oregon, Oklahoma or Connecticut?

Many behavioral health operators are considering adding Peer Support Services for patients and residents, but ever-evolving Medicaid coverage issues often prevent forward movement.

If you're a behavioral health business owner, It's time to get clear on what is - and what is not - covered in your state.

Find your answers here!

✅ Louisiana: MCO plans cover Peer Support Services!

✅ Kentucky: Sorry, still no Medicaid coverage for Peer Support Services.

✅ Oregon: OHP covers Peer Support Services, but there are some limitations.

✅ Oklahoma: Peer Support Services are Medicaid-reimbursable with a $3 Copay.

✅ Connecticut: No Medicaid coverage for Peer Support Services, period.

Get the details in the link below:

https://soberlivingapp.com/sober-living-app-blog/2024/7/3/are-behavioral-health-peer-support-services-covered-in-louisiana-kentucky-oregon-oklahoma-and-connecticut-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in Louisiana, Kentucky, Oregon, Oklahoma, and Connecticut Sober Living Homes and Addiction Treatment Programs? Here’s a state-by-state of how Medicaid interacts with peer support services in each state.

https://soberlivingapp.com/sober-living-app-blog/2024/7/22/are-behavioral-health-peer-support-services-covered-in-utah-nevada-iowa-arkansas-and-south-dakota-for-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Utah, Nevada, Iowa, Arkansas, and South Dakota for Sober Living Homes? Coverage details, limitations, exclusions, and other surprises for sober living home operators curious about Medicaid coverage for Peer Support Services in Utah, Nevada, Iowa, Arkansas, and South Dakota.

📣 Attention sober living home operators! 📣

Did you know that in...

💡 ...In Wisconsin, Peer Support Services are only covered under “state plan” Medicaid organizations?

💡 ...in South Carolina, Peer Support Services only reimbursed for SCDMH affiliated sober living homes?

💡 ...in Colorado there are no licensing requirements for Peer Support Specialists?

💡 ...in Minnesota, Peer Recovery Support is covered for Medicaid patients, but that additional regulation is pending?

💡 ...in Alabama, Peer Support Services are covered under Alabama Medicaid and copays are only required for people who have dual coverage?

To learn more about how Peer Support Services work in these states, click the link below:

https://soberlivingapp.com/sober-living-app-blog/2024/6/27/are-peer-support-services-covered-in-wisconsin-south-carolina-colorado-minnesota-and-alabama-sober-living-homes-or-addiction-treatment-programsnbsp

Sober Living App - Are Peer Support Services Covered in Wisconsin, South Carolina, Colorado, Minnesota, and Alabama Sober Living Homes or Addiction Treatment Programs? What are the rules for billing peer support services through Medicaid in Wisconsin, South Carolina, Colorado, Minnesota, and Alabama? Read on to learn how it works in each state.

https://soberlivingapp.com/sober-living-app-blog/2022/7/24/why-its-a-good-time-to-open-a-sober-living-in-virginia

Sober Living App - Why it's a Good Time to Open a Sober Living Home in Virginia Sober living homes fall under the category of “recovery residences” in Virginia. The state oversees a voluntary certification program and offers recovery residences the opportunity to apply to join a list of certified residences in the state if they meet certain qualifications.

https://soberlivingapp.com/sober-living-app-blog/2024/7/3/are-behavioral-health-peer-support-services-covered-in-louisiana-kentucky-oregon-oklahoma-and-connecticut-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in Louisiana, Kentucky, Oregon, Oklahoma, and Connecticut Sober Living Homes and Addiction Treatment Programs? Here’s a state-by-state of how Medicaid interacts with peer support services in each state.

Got a sober living home 🏠 🏠 🏠 in:

🏠 Tennessee,

🏠 Massachusetts,

🏠 Indiana,

🏠 Missouri,

or

🏠 Maryland?

If so, have you thought about adding 💡 peer support services 💡 for your residents?

With Medicaid coverage varying state-by-state, it can be difficult to track how local laws, limitations, and licensing requirements impact this important business decision.

That's why we're going through each state to give an updated run-down on peer support services coverages, exclusions, and limitations for Medicaid patients in every state. This post focuses on Tennessee, Massachusetts, Indiana, Missouri, and Maryland.

Get the info you need for to fine-tune your peer support services strategy here:

https://soberlivingapp.com/sober-living-app-blog/2024/6/24/are-behavioral-health-peer-support-services-covered-in-tennessee-massachusetts-indiana-missouri-and-maryland-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Tennessee, Massachusetts, Indiana, Missouri, and Maryland Sober Living Homes? If you’re currently operating an addiction treatment center or sober living home in Massachusetts, Indiana, Missouri, Maryland, and/or Tennessee, read on for more information about Medicaid billing rules that every business owner needs to know. 

https://soberlivingapp.com/sober-living-app-blog/2024/6/27/are-peer-support-services-covered-in-wisconsin-south-carolina-colorado-minnesota-and-alabama-sober-living-homes-or-addiction-treatment-programsnbsp

Sober Living App - Are Peer Support Services Covered in Wisconsin, South Carolina, Colorado, Minnesota, and Alabama Sober Living Homes or Addiction Treatment Programs? What are the rules for billing peer support services through Medicaid in Wisconsin, South Carolina, Colorado, Minnesota, and Alabama? Read on to learn how it works in each state.

"Is it covered?"

Today, we're adding a new installment in our series tackling the big question: "Are Peer Support Services covered for Medicaid patients in my state?"

It's a question that a lot of sober living home operators are asking right now, as the changing regulations seem to shift day-to-day.

In this installment, we'll address medicaid-reimbursable services for

🏘️ SOBER LIVING and 🤝 PEER SUPPORT SERVICES in:

✔️ New Jersey

✔️Arizona

✔️ Washington

✔️ Virginia

Get the link here:

https://soberlivingapp.com/sober-living-app-blog/2024/6/19/are-behavioral-health-peer-support-services-covered-in-new-jersey-arizona-washington-and-virginia-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in New Jersey, Arizona, Washington, and Virginia Sober Living Homes and Addiction Treatment Programs? Are you thinking of adding Peer Support Services to your addiction treatment or sober living home? If you operate in New Jersey, Arizona, Washington, or Virginia, read on. 

https://soberlivingapp.com/sober-living-app-blog/2024/6/24/are-behavioral-health-peer-support-services-covered-in-tennessee-massachusetts-indiana-missouri-and-maryland-sober-living-homes

Sober Living App - Are Behavioral Health Peer Support Services Covered in Tennessee, Massachusetts, Indiana, Missouri, and Maryland Sober Living Homes? If you’re currently operating an addiction treatment center or sober living home in Massachusetts, Indiana, Missouri, Maryland, and/or Tennessee, read on for more information about Medicaid billing rules that every business owner needs to know. 

Are you an Illinois, Ohio, Georgia, North Carolina, or Michigan-based sober living home operator?

Have you added Peer Support Services to your organization yet?

If you haven't taken the plunge, this post is here to help you decide if Peer Support Services is right for your organization.

We'll cover:

🤔 CPT Codes
🤔 Billing rules
🤔 Copays
🤔 Coverage
🤔 Sneaky rules
🤔 And more!

Click the link below to learn more:

https://soberlivingapp.com/sober-living-app-blog/2024/6/2/what-cpt-billing-code-should-sober-living-homes-use-for-peer-support-services-in-illinois-ohio-georgia-north-carolina-and-michigan

Sober Living App - What CPT Billing Code Should Sober Living Homes Use for Peer Support Services in Illinois, Ohio, Georgia, North Carolina, and Michigan? Are you a sober living home owner or operator in Illinois, Ohio, Georgia, North Carolina, or Michigan looking into adding peer support services for your recovery housing residents? 

https://soberlivingapp.com/sober-living-app-blog/2024/6/19/are-behavioral-health-peer-support-services-covered-in-new-jersey-arizona-washington-and-virginia-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in New Jersey, Arizona, Washington, and Virginia Sober Living Homes and Addiction Treatment Programs? Are you thinking of adding Peer Support Services to your addiction treatment or sober living home? If you operate in New Jersey, Arizona, Washington, or Virginia, read on. 

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Thinking of adding Peer Support Services to your sober living home?

Welcome to our new Peer Support Services series!

In this post, we'll cover the status of Peer Support Services in New York, California, Texas, Florida, and Pennsylvania.

We'll answer your burning questions, like:

🤔 Are Peer Support Services covered under Medicaid in my state?

🤔 What restrictions are there on Peer Support Services?

🤔 What CPT codes should I use?

🤔 And more!

Link below:

https://soberlivingapp.com/sober-living-app-blog/2024/5/29/are-behavioral-health-peer-support-services-covered-in-california-texas-florida-new-york-and-pennsylvania-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in California, Texas, Florida, New York, and Pennsylvania Sober Living Homes and Addiction Treatment Programs? Take a deep dive on Medicaid rules for peer support services in California, Texas, Florida, New York, and Pennsylvania. We’ll talk coverage, copays, limitations, exclusions, CPT codes, and more.

Learn about the most common CPT billing code modifiers for behavioral health in 2024:

🤔 What are CPT codes? Why are they important to behavioral health billing?

🤔 What’s a CPT or HCPCS modifier? When do I need to use one for addiction treatment billing and coding?

🤔 What are some of the most common addiction treatment CPT and HCPCS code modifiers in use in 2024?

🤔 What changes were made to CPT code modifiers for addiction treatment in the CMS 2024 update?

🤔 How can I figure out what behavioral health CPT or HCPCS code modifiers are required for Medicaid patients in my state?

Get answers here:

https://behavehealth.com/blog/2024/5/19/most-common-addiction-treatment-billing-cpt-and-hcpcs-code-modifiers-for-behavioral-health-billing-in-2024

Most Common Addiction Treatment Billing CPT and HCPCS Code Modifiers for Behavioral Health Billing in 2024 — Behave Health Need a handy list of the most commonly used CPT and HCPCS code modifiers that addiction treatment billers will use in 2024? Find it here.

https://soberlivingapp.com/sober-living-app-blog/2024/6/2/what-cpt-billing-code-should-sober-living-homes-use-for-peer-support-services-in-illinois-ohio-georgia-north-carolina-and-michigan

Sober Living App - What CPT Billing Code Should Sober Living Homes Use for Peer Support Services in Illinois, Ohio, Georgia, North Carolina, and Michigan? Are you a sober living home owner or operator in Illinois, Ohio, Georgia, North Carolina, or Michigan looking into adding peer support services for your recovery housing residents? 

https://soberlivingapp.com/sober-living-app-blog/2024/5/29/are-behavioral-health-peer-support-services-covered-in-california-texas-florida-new-york-and-pennsylvania-sober-living-homes-and-addiction-treatment-programsnbsp

Sober Living App - Are Behavioral Health Peer Support Services Covered in California, Texas, Florida, New York, and Pennsylvania Sober Living Homes and Addiction Treatment Programs? Take a deep dive on Medicaid rules for peer support services in California, Texas, Florida, New York, and Pennsylvania. We’ll talk coverage, copays, limitations, exclusions, CPT codes, and more.

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✅ Facilities licensing across the continuum of care

✅ Accreditation with all the major accrediting bodies

✅ Feasibility studies

✅ Due diligence services

Behave Health has a long track record of delivering superior consulting services to the behavioral health community. Behave360 expands and consolidates our services in one convenient location for all of our clients.

Let us help you take your behavioral health business startup (or expansion) from dream to reality!

To learn more about how we can help, visit:

https://behavehealth.com/blog/2024/5/19/introducing-behave360-professional-services-for-addiction-treatment-startups

Introducing Behave360 Professional Services for Addiction Treatment Startups — Behave Health We are excited to announce that Behave Health is launching a new effort to expand and consolidate our startup consulting, accreditation, and licensing services under a single umbrella, called Behave360. 

Most Common Addiction Treatment Billing CPT and HCPCS Code Modifiers for Behavioral Health Billing in 2024 -

Most Common Addiction Treatment Billing CPT and HCPCS Code Modifiers for Behavioral Health Billing in 2024 — Behave Health Need a handy list of the most commonly used CPT and HCPCS code modifiers that addiction treatment billers will use in 2024? Find it here.

Introducing Behave360 Professional Services for Addiction Treatment Startups -

Introducing Behave360 Professional Services for Addiction Treatment Startups — Behave Health We are excited to announce that Behave Health is launching a new effort to expand and consolidate our startup consulting, accreditation, and licensing services under a single umbrella, called Behave360. 

Will you be at the 45th annual National Association of Addiction Treatment Providers (NAATP) Conference in Denver, Colorado next week?

Let us know if you'll be there in the comments below and don't forget to stop by and say "hi" to us at booth #307!

See our hand-picked "must-see" list from the schedule of events here:

https://behavehealth.com/blog/2024/5/1/join-behave-health-at-the-naatp-conference-in-denver-may-19-21

Join Behave Health at the NAATP Conference in Denver, May 19-21 — Behave Health Behave Health is excited to announce that we will be at the 45th annual National Association of Addiction Treatment Providers (NAATP) Conference in Denver, Colorado this May, from the 19th through the 21st. 

The good news: CPT codes for addiction treatment billing have not changed much in 2024!

The bad news: There are still a few tricks and tips that savvy addiction treatment billers and coders will want to keep in mind for 2024.

In this post, we’ll cover some of the basics of the 2024 changes to CPT and HCPCS codes for addiction treatment and behavioral health billing, as well as what these changes mean for some of the most common CPT codes our addiction treatment partners use day in and day out when providing medical services for people with SUD.

We'll cover:

✔️ H0001HF - Initial introductory assessments

✔️ H0004HF - One-on-one therapy

✔️ 96164HF - Group counseling

✔️ How telehealth rules have changed for all 2024 addiction treatment CPT codes

Read more here:

https://behavehealth.com/blog/2024/5/5/2024-most-commonly-used-addiction-treatment-and-behavioral-health-cpt-codes-for-billing-and-reimbursement

2024 - Most Commonly Used Addiction Treatment and Behavioral Health CPT Codes for Billing and Reimbursement — Behave Health When the CMS drops a new update to existing codes, it’s considered a “new codeset” - a shiny new box of codes that addiction treatment billers can use to communicate about services rendered with insurance payers. 

2024 - Most Commonly Used Addiction Treatment and Behavioral Health CPT Codes for Billing and Reimbursement -

2024 - Most Commonly Used Addiction Treatment and Behavioral Health CPT Codes for Billing and Reimbursement — Behave Health When the CMS drops a new update to existing codes, it’s considered a “new codeset” - a shiny new box of codes that addiction treatment billers can use to communicate about services rendered with insurance payers. 

Hello, addiction treatment billing wizards!

You've asked for a 2024 update on one of our most popular blog posts of all-time - and here it is.

In this post, we'll cover all the relevant changes and updates to the addiction treatment billing world in 2024.

Specifically, we'll look at the following ultra-common residential SUD treatment CPT codes:

H0017 - Behavioral Health - Residential Without Room and Board

H0018 - Behavioral Health - Short-Term Residential Without Room and Board

H0019 - Behavioral Health - Long-Term Residential Without Room and Board

Also! Get educated on the CPT code changes for 2024 that allow providers to be reimbursed at the non-facility rate for telehealth services.

You can read about all of these important 2024 billing updates here:

https://behavehealth.com/blog/2024/4/24/2024-update-mastering-cpt-codes-for-residential-addiction-treatment-services-h0017-h0018-h0019

2024 Update! Mastering CPT Codes for Residential Addiction Treatment Services: H0017, H0018, H0019 — Behave Health The Centers for Medicare and Medicaid Services, also known as CMS, released their annual update to CPT/HCPCS codes on September 8th, 2023.