Behavioral Therapy
Behavioral Therapy


Behavioral Therapies Information for Providers

Colorado Medicaid Criteria for Behavioral Therapies



The New 2019 Behavioral Therapy HCPCS codes have been added to eQSuite®: 
 

If the PAR had a start date on or after January 1, 2019. please submit a HelpLine ticket requesting a correction. Please include the code(s) and/or modifier that was affected along with the PAR number or review ID. Those corrections will be added to the review for eQHealth staff to process.  

If the PAR had a start date prior to January 1, 2019,  please submit a modification request for that PAR with the new code(s) and/or modifier affected. The modification request start date should reflect January 1, 2019, and should only include the units needed for  January 1, 2019, through the end date of that PAR, and the total number of combined units should not exceed the total number of units approved on the original PAR. 

Due to our system some type of documentation is required to be uploaded with a modification.  Providers can upload a document saying “This modification is due to the 2019 Behavioral Therapy codes”. 


If the PAR had a start date on or after 1/1/19 please submit a HelpLine ticket requesting a correction. Please include the code(s) and/or modifier that was affected along with the PAR number or review ID. Those corrections will be added to the review for eQHealth staff to process.  
 
If the PAR had a start date prior to 1/1/19 please submit a modification request for that PAR with the new code(s) and/or modifier affected. The modification request start date should reflect 1/1/19 and should only include the units needed for 1/1/19 through the end date of that PAR, and the total number of combined units should not exceed the total number of units approved on the original PAR.

Training

To view the Behavioral Therapy training presentation please click on the following link. You will need to sign into gotowebinar to view and listen to the presentation.

https://register.gotowebinar.com/register/7429716022020632833


Behavioral Therapy 2018.pdf

Behavioral Therapy Billing Guide

Please click the link below which will take you the the Colorado HCPF Billing Guides.  You will then click on CMS 1500 and Pediatric Behavioral Therapy.

https://www.colorado.gov/pacific/hcpf/billing-manuals