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”.
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.
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.