Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid www.mass.gov/masshealth MassHealth Managed Care Organization Bulletin 3 December 2013 TO: Managed Care Organizations Participating in One Care: MassHealth plus Medicare Program FROM: Kristin L. Thorn, Medicaid Director RE: Current Procedural Terminology (CPT) Codes and Payment to Providers for Behavioral Health Services Background Section 32 of Chapter 118 of the Acts of 2013 requires managed care entities, including integrated care organizations (also known as One Care plans), Managed Care Organizations, and MassHealth’s behavioral health carve-out vendor to implement Current Procedural Terminology (CPT) evaluation and management codes for behavioral health services and pay MassHealth fee-for-service rates for such codes. Behavioral Health Services Effective January 1, 2014, One Care plans must implement all CPT evaluation and management codes for MassHealth-covered behavioral health services set forth in Appendix B of the Contract between the United States Department of Health and Human Services Centers for Medicare & Medicaid Services, the Commonwealth of Massachusetts, and each One Care plan as most recently adopted by the American Medical Association and CMS, and pay no less than the MassHealth rate for all such CPT codes. Questions If you have any questions about the information in this bulletin, please contact MassHealth Customer Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617 988 8974. Document ends.