MO HealthNet coverage for biopsychosocial treatment of obesity (see Provider Bulletin Volume 44, Number 12 https://dss.mo.gov/mhd/providers/pdf/bulletin44-12.pdf) is an integrated approach to care that includes both medical nutrition therapy and behavioral health counseling to improve weight status. Prior authorization for either treatment component in isolation will not be granted.
When a participant has both Medicare and MO HealthNet coverage, a claim must be filed with Medicare first. However, MO HealthNet enrolls the following practitioners that Medicare does not cover:
Are you a Missouri Primary Care Provider who has wished for a curbside consultation with a child and adolescent psychiatrist to support better outcomes for your young patients with behavioral health issues? NOW WITH STATEWIDE IMPLENTATION of MO-CPAP, your telephone can become the tool to make that happen.
The MO HealthNet Division has changed the date of the provider workshop that was to be held on April 29, 2020 in order to avoid a conflict with the 2020 Missouri Children’s Trauma Network Training Summit. The behavioral health workshop will now be held on May 12, 2020.
The ABA workshop will still be held on April 16, 2020.
On April 1, 2019, the MO HealthNet Division (MHD) implemented statewide Complementary Health and Alternative Therapy Services for Chronic Pain Management.
The Complementary Health and Alternative Therapy Services program includes a combination of newly covered services: physical therapy, chiropractic therapy, and acupuncture, along with current coverage of cognitive-behavioral therapy (CBT) and non-opioid medication therapy.
We are alerting you to a world-class behavioral health training for psychologists and other mental health professionals developed by the American Diabetes Association on Saturday, February 29, 2020, in Kansas City. The workshop is co-sponsored by the Missouri Psychological Association (MOPA) and the Kansas City University of Medicine and Biosciences.
New Behavioral Health Treatment Services Locator:
The Substance Abuse and Mental Health Services Administration (SAMHSA) collects information on thousands of state-licensed providers who specialize in treating substance use disorders, addiction, and mental illness.
This tool includes many resources beyond MO HealthNet providers. This site includes information on treatment options, payment options, and additional resources for understanding addiction and mental health.
The MO HealthNet Division has added clarifying information to Provider Bulletin Vol. 42, No. 04, Rate Increase for Behavioral Health Services.
In Attachment A, Program Type indicates the fee schedule category for each procedure code. In addition, the original bulletin omitted procedure codes for applied behavior analysis (ABA) in error, and the updated bulletin includes ABA procedure codes.
The Missouri Child Psychiatry Access Project (MO-CPAP) is a pilot program, initially funded by Missouri Foundation for Health (MFH) with expansion funding provided by Health Resources and Services Administration (HRSA), aimed at supporting and strengthening primary care providers’ ability to provide mental health care to young patients with mild to moderate behavioral health issues.
In the 2019 Applied Behavior Analysis (ABA) CPT® Code Changes bulletin, the maximum quantity refers to the maximum number of units per day that can be billed. The unit for each ABA procedure code is 15 minutes, as noted in the Brief Description column. For example, the maximum quantity for 97151 is 8 units per day. Eight 15-minute units is equivalent to two hours. The maximum quantity of 97152 is 32 units per day. Thirty-two 15-minute units is equivalent to 8 hours.
