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Reimbursement for a Broader Array of Services in Coordinated Specialty Care for Early Psychosis
Matthew E Hirschtritt1, Brandon Staglin1, Stuart Buttlaire1
1Division of Research, Kaiser Permanente Northern California, Oakland, and Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco (Hirschtritt); One Mind, Rutherford, California (Staglin); Permanente Medical Group, Oakland, California (Buttlaire); Aldea Children & Family Services, Napa, California (Ahearn, Oglesby); Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, and New York State Psychiatric Institute, New York City (Dixon); National Association of State Mental Health Program Directors, Alexandria, Virginia (Shern); California Mental Health Services Oversight and Accountability Commission, Sacramento (Ewing); Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento (Niendam).
Abstract:
Despite the growing evidence supporting the benefits of coordinated specialty care (CSC) for early psychosis, access to this multimodal, evidence-based program in the United States has been hindered by a lack of funding for core CSC services and activities. The recent approval of team-based reimbursement codes by the Centers for Medicare and Medicaid Services has the potential to fund substantially more CSC services for clients with insurance coverage that accepts the new team-based billing codes. This streamlined and more inclusive billing strategy may reduce administrative burden and support the financial viability of CSC programs.
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