Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA 02111 www.mass.gov/masshealth MASSHEALTH TRANSMITTAL LETTER PSY-21January 2006 TO: Psychologists Participating in MassHealth FROM: Beth Waldman, Medicaid Director RE: Psychologist Manual (Revised Service Codes and Descriptions) This letter transmits revisions to the service codes and descriptions in the Psychologist Manual. The Centers for Medicare and Medicaid Services (CMS) have revised the Healthcare Common Procedure Coding System (HCPCS) for 2006. The revised Subchapter 6 is effective for dates of service on or after January 1, 2006. If you wish to obtain a fee schedule, you may purchase Division of Health Care Finance and Policy regulations from either the Massachusetts State Bookstore or directly from the Division of Health Care Finance and Policy (see addresses and telephone numbers below). You must contact them first to find out the price of the regulation. The Division of Health Care Finance and Policy also has the regulations available on disk and on their website. The regulation title is 114.3 CMR 29.00: Psychological Services. Massachusetts State Bookstore Division of Health Care Finance and Policy State House, Room 116 Two Boylston Street Boston, MA 02133 Boston, MA 02116 Telephone: 617-727-2834 Telephone: 617-988-3100 www.mass.gov/sec/spr www.mass.gov/dhcfp Changes to Service Codes and Descriptions Service Codes 96100 and 96117 have been deleted from the 2006 CPT. Effective January 1, 2006, providers must bill using the replacement service codes below: 96101 Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, e.g., MMPI, Rorschach, WAIS), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report 96118 Neuropsychological testing (e.g., Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report MASSHEALTH TRANSMITTAL LETTER PSY-21 January 2006 Page 2 Obsolete Appendix This transmittal letter also removes Appendix D, which is obsolete. MassHealth Web Site This transmittal letter and attached pages are available on the MassHealth Web site at www.mass.gov/masshealth. Questions If you have questions about the information in this transmittal letter, please contact MassHealth Customer Service at 1-800-841-2900, email your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974. NEW MATERIAL (The pages listed here contain new or revised language.) Pages 6-1 and 6-2 OBSOLETE MATERIAL (The pages listed here are no longer in effect.) Pages 6-1 and 6-2 — transmitted by Transmittal Letter PSY-20 Appendix D — transmitted by Transmittal Letter PSY-18 Commonwealth of Massachusetts Medical Assistance Program Provider Manual Series PSYCHOLOGIST MANUAL SUBCHAPTER NUMBER AND TITLE 6 SERVICE CODES AND DESCRIPTIONS PAGE 6-1 TRANSMITTAL LETTER PSY-21 DATE 01/01/06 601 Psychological Testing Service Code Service Description 96101 Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, e.g., MMPI, Rorschach, WAIS), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report 96118 Neuropsychological testing (e.g., Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales, and Wisconsin Card Sorting Test), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report This publication contains codes that are copyrighted by the American Medical Association. Certain terms used in the service descriptions for HCPCS codes are defined in the Current Procedural Terminology (CPT) code book. Commonwealth of Massachusetts Medical Assistance Program Provider Manual Series PSYCHOLOGIST MANUAL SUBCHAPTER NUMBER AND TITLE 6 SERVICE CODES AND DESCRIPTIONS PAGE 6-2 TRANSMITTAL LETTER PSY-21 DATE 01/01/06 601 Psychological Testing Service Code Service Description This page is reserved. Commonwealth of Massachusetts Medical Assistance Program Provider Manual Series SUBCHAPTER NUMBER AND TITLE 6 SERVICE CODES AND DESCRIPTIONS PAGE 6-2 PSYCHOLOGIST MANUAL TRANSMITTAL LETTER PSY-21 DATE 01/01/06