AdministrativeMedicaidJanuary 31, 2024

Mobile Crisis and Crisis Residence Authority and Reimbursement Changes: FAQ for providers

NYS received approval from the Centers for Medicare and Medicaid Services (CMS) for the Crisis Intervention State Plan Amendment (SPA) #22-0026. Effective March 1, 2024, the Crisis Intervention SPA consolidates and aligns Medicaid authority, coverage, and reimbursement policies for existing children and adults Mobile Crisis and Crisis Residence services. Medicaid Managed Care Plans are required to follow the guidance mobile crisis and crisis residential services.

1.  How does this impact billing? 

Answer: 

Starting May 1, 2024, dates of service, all Mobile Crisis services will need to be billed as per the table below.

Category

Service

Rate Code

Procedure Code

Modifier

Authorization Required

Mobile Crisis Adult & Children

Mobile Crisis Response - one person response, Licensed

4615

H2011

HE

No

Mobile Crisis Adult & Children

Mobile Crisis Response - two-person response - Licensed and Unlicensed/Certified Peer- up to 90 minutes

4616

H2011

HK

No

Mobile Crisis Adult & Children

Mobile Crisis Response - two-person response, both Licensed - up to 90 minutes

4617

H2011

HE, HK

No

Mobile Crisis Adult & Children

Mobile Crisis Response (90 - 180 minutes) Two-person Response: Licensed and unlicensed / Certified Peer

4618

S9484

EP

No

Mobile Crisis Adult & Children

Mobile Crisis Response (per diem) Two-person Response: Licensed and Unlicensed/Certified Peer -At minimum 3 hours of face-to-face contact

4620

S9485

HE

No

Mobile Crisis Adult & Children

Mobile Crisis Response Two-person Response: Both Licensed (90-180 Minutes)

4619

S9485

HE, HK, U5

No

Mobile Crisis Adult & Children

Mobile Crisis Response (per diem) Two-person Response: Licensed -At minimum 3 hours of face-to-face contact

4621

S9485

HE, HK

No

Mobile Crisis Adult & Children

Mobile Crisis follow up - face to face - One person response, Licensed - up to 90 minutes

4622

H2011

TS, HO

No

Mobile Crisis Adult & Children

Mobile Crisis follow up - face to face - One person response, Unlicensed/Certified Peer - up to 90 minutes

4623

H2011

TS, HM, HA

No

Mobile Crisis Adult & Children

Mobile Crisis follow up - Two-person face-to-face Response: Licensed and Unlicensed/Certified Peer- up to 90 minutes

4624

H2011

TS, SC

No

Mobile Crisis Adult & Children

Telephonic Crisis follow up - Licensed -Up to 60 minutes (4 Units)

4613

H2011

TS, GT

No

Mobile Crisis Adult & Children

Telephonic Crisis follow up - Unlicensed/Certified Peer -Up to 60 minutes (4 Units)

4614

H2011

TS, HM

No

Mobile Crisis Adult & Children

Telephonic Crisis Triage and Response: Licensed Professional (up to 90 minutes)

4609

H2011

GT

Mobile Crisis Adult & Children

Telephonic Crisis Triage and Response: Unlicensed/Certified Peer (up to 90 min)

4610

H2011

GT, HO

No

Mobile Crisis Adult & Children

Telephonic Crisis Triage and Response: Licensed Professional (above 90 minutes)

4611

S9485

GT

No

Mobile Crisis Adult & Children

Telephonic Crisis Triage and Response: Unlicensed Professional (above 90 minutes)

4612

S9485

HO

No

Starting May 1, 2024, dates of services, all Crisis Residential Services need to be billed as per the table below

Category

Service

Rate Code

CPT

Modifiers

Authorization Required

Crisis Residential Children & Adult

Residential Crisis Support

4625

T2034

HE

Yes- Notification Required

Crisis Residential Children & Adult

Intensive Crisis Residence

4626

T2034

ET

Yes- Notification Required

Crisis Residential Children & Adult

Children Crisis Residence (Up to age 21)

4627

T2034

HK

Yes- Notification Required

2.  Can I still bill using rate codes that I used in 2023?

Answer: No, for Dates of Service May 1, 2024, the rate codes listed above will need to be used. Other rate codes 7906 – 7910; 7936 – 7942 and 7943 -7945 will be discontinued and the claim will deny if these discontinued rates codes are billed.

3.  Who can bill for these services?
Answer: All currently designated Mobile Crisis and licensed Crisis Residence providers all existing providers with CFTSS and 1115 Waiver Mobile Crisis and Crisis Residence providers CPEPs.

4.  Do I need to amend my contract?
Answer: No.

5.  Who do I call if I want to contract with Anthem?
Answer: https://www.carelonbehavioralhealth.com/providers/join-our-network

6.  Whom do I contact if I have additional questions?
Answer: Please contact Provider Services at 1-866-231-0847

7.  Where can I find more resources?
Providers should bill services in accordance with NYS Medicaid guidelines.
Please use our provider website to find additional information and resources: Provider Website
Claims Submission (including out of network claims):

  • Online https://www.availity.com/
  • Electronic claims payer IDs: For professional claims: 00803. For institutional claims: 00303
  • Submit paper claims to:

Anthem
P.O. Box 61010
Virginia Beach, VA 23466-1020

Timely filing is within 90 days from the date of service, or per the terms of the Provider Agreement.

Empire provides an online resource designed to significantly reduce the time your office spends verifying eligibility, claims status, and authorization status. Log in to our website and browse through the Tools section for more details. Claims overview | Anthem

For questions or more information, contact Provider Relations at 1-866-231-0847.

Medicaid services provided by Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CD-049672-24, NYBCBS-CD-052279-24