Substance Abuse Rehab

Provider Representative:  Karen Murphy   Tel.(571) 348-5933   
                                                 email:Karen.Murphy3@gainwelltechnologies.com

Reference Guide

Updates

Effective immediately, providers can directly bill Medicaid fee for service for SUD residential when the recipient has a Medicare Advantage Plan. A denial from the Medicare Advantage Plan is no longer required by Medicaid for the following codes:

• H0001 UD - Alcohol and/or drug assessment 60-90 minutes.
• H0004 UD - Individual counseling and therapy, per 15 minutes.
• H0005 UD - Group counseling and therapy