This page, Medicare-only, is offered by
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Medicare-only

Acute care billing instructions for behavioral health services rendered by Medicare-only network providers.

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BH Crisis Evaluation (Required of Hospitals)

On initial day of readiness (S9485, no modifier)

ED-Based	Med/Surg
Not currently a service eligible for payment	Not currently a service eligible for payment

BH Crisis Management

On days subsequent to the initial BH Crisis Evaluation for individuals experiencing a behavioral health crisis in need of ongoing behavioral health crisis supports (S9485-V1 or -V2)

ED-Based	Med/Surg
Not currently a service eligible for payment	Not currently a service eligible for payment

MOUD Induction

Ed- Based Only
Not currently a service eligible for payment

Recovery Support Navigator (RSN)

RSN services provided in the emergency department or medical/surgical floors (H2015-HF)

ED-Based	Med/Surg
Not currently a service eligible for payment	Not currently a service eligible for payment

Date published:	April 30, 2024

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Table of Contents

Medicare-only

Table of Contents

BH Crisis Evaluation (Required of Hospitals)

On initial day of readiness (S9485, no modifier)

BH Crisis Management

On days subsequent to the initial BH Crisis Evaluation for individuals experiencing a behavioral health crisis in need of ongoing behavioral health crisis supports (S9485-V1 or -V2)

MOUD Induction

Recovery Support Navigator (RSN)

RSN services provided in the emergency department or medical/surgical floors (H2015-HF)

Help Us Improve Mass.gov with your feedback

Table of Contents

Medicare-only

Table of Contents

BH Crisis Evaluation (Required of Hospitals)

On initial day of readiness (S9485, no modifier)

BH Crisis Management

On days subsequent to the initial BH Crisis Evaluation for individuals experiencing a behavioral health crisis in need of ongoing behavioral health crisis supports (S9485-V1 or -V2)

MOUD Induction

For initiation of medication for opioid use disorder in the emergency department for MassHealth members who consent to initiation (G2213)

Recovery Support Navigator (RSN)

RSN services provided in the emergency department or medical/surgical floors (H2015-HF)

Help Us Improve Mass.gov with your feedback