MedicaidBilling CodesHigh impact
Mobile Crisis and Crisis Residence Service Changes
Healthfirst·NY · Psychiatry, Emergency Medicine·Provider Update
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
Healthfirst is consolidating Mobile Crisis and Crisis Residence services under new billing codes effective March 1, 2024, with retroactive payment adjustments back to April 1, 2022. Providers must transition from children-specific rate codes to unified adult/children codes, with old codes discontinuing May 1, 2024.
Action Required
By March 1, 2024: Billing team must update systems to use unified rate codes 4609-4624 for all Mobile Crisis services and codes 4625-4627 for Crisis Residence services for both adults and children. By May 1, 2024: Stop using discontinued children's codes 7906-7910, 7936-7942, and 7943-7945. By July 1, 2024: CPEP providers must stop billing rate code 4009 and transition to Mobile Crisis codes. Update billing software to reflect these code changes and ensure claims are processed with correct retroactive rates.