| Organization: | MassHealth |
|---|---|
| Date published: | April 30, 2024 |
This binder contains important behavioral health billing instructions
The sections below will take you to information that's important for providers to know and understand how to bill MassHealth for behavioral health services rendered in acute care settings.
Table of Contents
- Commercial Carriers and QHPs regulated by DOI
- ERISA and self-funded plans not regulated by the DOI
- Fallon
- Fee-for-Service, including members with Third Party Liability
- Health New England
- Mass General Brigham
- MassHealth Limited
- MBHP Behavioral health benefit for PCC Plan
- Medicare-only
- Point 32/Tufts for ACO and SCO Plans
- Senior WholeHealth
- Uninsured (with no MassHealth Limited coverage)
- UnitedHealthcare
- WellSense/BMC for ACO and SCO Plans
Downloads
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Acute Hospital Billing Grid (Table), Open PDF file, 211.52 KB (English, PDF 211.52 KB)
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Acute Hospital Billing Grid (Table), Open DOCX file, 44.43 KB (English, DOCX 44.43 KB)