Mobile Crisis and Crisis Resident Authority Billing Changes
22.02.2024
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Posted by Provider Relations
Fidelis Care would like to inform providers of an upcoming change to the Comprehensive Psychiatric Emergency Program (CPEP) rate code 4009 for Crisis Outreach Service Visits. Effective July 1, 2024 rate code 4009 will be retired for Medicaid plans, including HIV Special Needs Plans (HIV SNPs), and Health and Recovery Plans (HARPs). With the announced State Plan Amendment (SPA) approval for Crisis Intervention services, CPEPs are allowed to bill utilizing the mobile crisis rate codes for both adults and children.
If you have any questions, please contact your Fidelis Care Provider Relations Specialist. To find your designated representative, please visit Contact Your Designated Provider Relations Specialist.