Name of Manual - Blue Cross and Blue Shield of Minnesota

Chapter 11
Coding Policies and Guidelines
(Behavioral Health)
Table of Contents
Behavioral Health for Professional Billers (837P) ................................................................ 11-4
Introduction..........................................................................................................................11-4
Practitioners Who Should be Using this Section .................................................................11-4
Units.....................................................................................................................................11-4
Coding Restrictions..............................................................................................................11-4
CTSS Skills Training and Development – PMAP/MNCARE Only....................................11-5
Adult Rehabilitation Mental Health Services (ARMHS) – PMAP/MNCARE Only .......... 11-7
Coding for ARMHS – PMAP/MNCARE Only................................................................... 11-7
Eligible Groups for ARMHS ...............................................................................................11-8
Assertive Community Treatment (ACT) ............................................................................. 11-8
Billing for ACT....................................................................................................................11-8
Intensive Residential Treatment Services (IRTS) (Medicaid Government Programs Only)11-9
IRTS/Crisis Provider Eligibility ........................................................................................11-10
IRTS Member Eligibility ...................................................................................................11-11
IRTS Access to Services....................................................................................................11-11
Billing for IRTS or Residential Crisis ...............................................................................11-11
Adult Non-Residential Crisis Services - Public Program Members Only......................... 11-12
MH-TCM Services to Minnesota Health Care Programs.................................................. 11-14
Dialectical Behavioral Therapy/DBT - MHCP Members Only ........................................11-16
Autism Spectrum Disorder/EIBI........................................................................................11-18
Psychiatric Consultation to Primary Care Practitioners.....................................................11-22
Psychiatry and Chemical Dependency Assessments .........................................................11-25
MHCP Screening Requirements........................................................................................ 11-25
Family Therapy..................................................................................................................11-26
Units for Public Program Members ................................................................................... 11-26
Medication Management ...................................................................................................11-27
Behavioral Health Evaluation & Management (E&M) Office Calls.................................11-28
Nutritional Counseling/Medical Nutrition Therapy Services............................................11-29
Eligibility of Dietitians/ Nutritionists ................................................................................11-30
Psychological and Neuropsychological Testing ................................................................11-30
Testing Policy ....................................................................................................................11-31
Practitioner Key .................................................................................................................11-37
Policies...............................................................................................................................11-38
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual 06/19/12
11-1