Summary
This historical 2020 Michigan Medicaid policy covers Psychiatric Collaborative Care Model services for dates of service on and after August 1, 2020, for mild to moderate behavioral health conditions managed in primary care for Medicaid fee-for-service and Medicaid Health Plan beneficiaries. Covered CoCM services last for an initial six-month episode of care, and prior authorization is required for an additional six calendar months if the beneficiary shows improvement and continued care is needed. The primary care provider is the sole biller for CoCM, reported with CPT codes 99492, 99493, and 99494, and Federally Qualified Health Centers and Rural Health Clinics use HCPCS code G0512.
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