Behavioral Health Final Fee Schedule Changes Effective January 1, 2017

As of 1/1/2017 Medicaid Rates for Behavioral Health Fees are decreasing.  There was a Special Session that took place this fall which caused the rate drops that are supposed to aid in the States budget being balanced (See below more detail) 1*.

Below are the CPT codes that will be affected and are used by most Behavioral Health providers listed by education level:

Rate Drecease

 

Here is the direct link to the new rates:

http://www.hsd.state.nm.us/uploads/FileLinks/e7cfb008157f422597cccdc11d2034f0/BH_fee_schedule_Changes_1.17_final_rs_MCOs_1.pdf

1* Medicaid Budget

The legislature and governor passed a fiscal year (FY) 2017 budget in the 2016 regular session that allocated $928.5 million in state funds for Medicaid. By July 2017, Medicaid is expected to experience a $417 million funding shortfall. 1 This represents a $20.8 million increase from FY 2016, but with increasing costs, this has resulted in what the HSD originally reported as an $86 million deficiency for Medicaid. 2

Source:https://www.nmlegis.gov/Publications/Info_Bulletins/2016/What%20Is%20Happening%20With%20Medicaid%20Provider%20Reimbursement%20Cuts.pdf

 

 

2017-05-15T13:14:03+00:00