LCAR approves DFR rule identifying primary mental‑health and substance‑use billing codes

Apr 24, 2025

The Legislative Committee on Administrative Rules on April 24 approved a Department of Financial Regulation rule (Rule 24 P 50) that tells insurers which mental‑health and substance‑use billing codes should receive a primary‑care copayment rather than a specialty‑care copayment. The rule does not change reimbursement rates.

The full story

The Legislative Committee on Administrative Rules on April 24, 2025 approved a Department of Financial Regulation proposed rule (Rule 24 P 50) that establishes guidelines for which mental‑health and substance‑use service billing codes insurers should treat as primary care for copayment purposes.

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