Integrated Outpatient Services: Billing Guidance
December 22, 2022
Please see attached memo of updated billing guidance for Integrated Outpatient Services (IOS). The purpose of this memo is to resolve payment challenges by providing MMCPs and IOS providers a complete set of separate rate codes which will identify PH and BH services provided by clinics. Additionally, it provides a complete set of separate rate codes which will identify off-site/primary care services provided by OMH Host clinics. Use of these new rate codes is effective April 1, 2023, and going forward. The State is providing MMCPs and behavioral health providers delivering IOS with a 90-day notice to ensure their systems are configured to utilize the new rate codes with appropriate rate arrangements identified in the attached guidance by this effective date.
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