Payment Reform Resources

Payment Reform requires counties to transition, where applicable, from billing for services using the Healthcare Common Procedure Coding System (HCPCS) to Current Procedural Terminology (CPT) codes.  QMS has developed provider-specific Quick Guides in an effort to train and assist all Mental Health Plan providers with this transition to CPT coding.  Save this link to your “Favorites” to ensure that you are referencing the latest/updated Quick Guide(s).

* Quick Guides are subject to frequent changes due to payment reform and/or billing coding updates

Provider Type Quick Guides

• Certified Peer Support Specialist
• Therapeutic Behavioral Services
• Licensed Vocational Nurse – Licensed Psychiatric Technician
• Pharmacist
• Mental Health Specialist – Mental Health Rehab Specialist – Mental Health Worker – Other Qualified Provider
• Psychologist
• Clinician - Social Worker/Marriage and Family Therapist/Professional Clinical Counselor (Licensed/Registered/Waivered)
• Registered Nurse
• Nurse Practitioner – Clinical Nurse Specialist
• Physician Assistant
• Medical Doctor – Doctor of Osteopathy