Ohio Department of Medicaid Fee Schedule Update
The Ohio Department of Medicaid (ODM) regularly updates the fee schedule for non-institutional services. As of July 1, no major changes were made that impact primary care. View the fee schedule for primary care providers.
There have been several increases to the Medicaid Fee Schedule for Community Behavioral Health Providers administered by OHMHAS. Please note that these changes will only apply to those Partners For Kids practices who bill as a type 84 or 95 entity. The services receiving increases effective August 1 include, but are not limited to:
- Psychotherapy for crisis
- Psychotherapy for individuals
- Psychotherapy for groups
- Psychotherapy for multi-family groups
- Group therapeutic behavioral services, including day treatments and per diem
For full details, including CPT codes and reimbursement changes by provider type, please refer to the Ohio Department of Medicaid’s Behavioral Health Provider Manual.