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DHS proposes new SUD billing units, recovery-residence certification and changes to behavioral health fund
Summary
DHS proposed disaggregating substance use disorder counseling into six new billing codes, moving units to 15-minute increments, creating a certification process for recovery residences and changing behavioral health fund eligibility and county shares to reduce state-only costs and encourage Medicaid enrollment.
Alyse Bailey and DHS staff told the House committee the governor's budget would create six new billing codes for substance use disorder (SUD) counseling and move billing from one-hour increments to 15-minute units to improve alignment between billed units and services delivered and to support compliance with midpoint billing rules.
Bailey said the change would better reflect different counseling and recovery-support activities and allow DHS to tailor…
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