AHCA Announcement Regarding CPT Codes

Dear Provider

As per the AHCA announcement located at the weblink below, all claims for dates of service on August 1, 2022 and thereafter must use CPT codes. Netsmart has added the list of CPT codes to the provider dashboard, and those will be available for use as of August 1, 2022. The HCPCS codes will remain available for billing DOS prior to August 1, 2022.

https://ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/behavioral_health_coverage/bhfu/BA_Services.shtml

What this means for you: For visits August 1, 2022 and later, you will need to edit scheduled visits to remove the HCPCS code and replace with CPT codes. All visits with care rendered on or after this date must be billed with CPT codes.

 Note: Visits on or before July 31, 2022 should remain scheduled with HCPCS codes and should be billed with HCPCS codes.