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MedicaidAdministrativeMedium impact

Mobile Crisis Intervention Services Expansion

Kentucky Medicaid·KY · Psychiatry, Emergency Medicine·Provider Letter
Effective date
Jun 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Kentucky Medicaid has expanded Mobile Crisis Intervention Services (MCIS) effective around June 1, 2024, introducing new behavioral health crisis services with specific billing codes. All providers must contract with Carelon Behavioral Health as the new Administrative Services Organization - providers can no longer bill Fee-for-Service or Managed Care Organizations directly for these services starting June 1, 2024.

Action Required

Action needed
By June 1, 2024: Behavioral health providers offering crisis services must contract with Carelon Behavioral Health (contact Eric.Eason@carelon.com) to continue providing Mobile Crisis Intervention Services, 23-Hour Crisis Observation & Stabilization, and Behavioral Health Crisis Transport. Update billing systems to route these services through Carelon instead of direct Fee-for-Service or MCO billing. Failure to contract with Carelon will prevent billing for these behavioral health crisis services.

Affected Billing Codes

S9484
H0018
S9485
T2003
A0425