MedicaidBilling CodesMedium impact
Managed Care Entity Bulletin 138: Family-based Intensive Treatment within Community Service Agencies
MassHealth·MA · Psychiatry·Managed Care
Effective date
Oct 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth introduces a new Family-based Intensive Treatment (FIT) service for members under 21, requiring Community Service Agencies to bill using encounter bundle code H0046-HT for any week in which FIT activities are provided. MCEs must pay CSAs at least the minimum rate specified in 101 CMR 352.00.
Action Required
By October 1, 2025: Billing team must configure system to accept encounter bundle code H0046-HT for Family-based Intensive Treatment services for MassHealth members under age 21. Set up weekly bundled billing (7-day periods) and ensure reimbursement rates meet minimum standards per 101 CMR 352.00. Update encounter forms for Community Service Agency billing staff.