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Office of Mental Health

Clinic Reimbursement & Policy Guidance

This site is intended to be a quick reference guide for all stakeholders looking for information on clinic services.

News

  • Claim Submission - Attending and Referring Line (July 24, 2020) - OMH has issued guidance to reiterate acceptable billing practices with respect to the Attending and Referring fields of a claim. Additional information can be found in the Part 599 guidance document.
  • Part 599 Guidance Document has been updated (January 1, 2021) – Updated to reflect that effective 1/1/21, the AMA discontinued the use of 99201.
  • Clinic IOP Guidance (February 1, 2017) - OMH has issued guidance for the creation of a new intensive level of outpatient service that will increase clinic-based treatment options for people with psychiatric disabilities and help them to avoid inpatient admissions to psychiatric centers. The new Intensive Outpatient Program (IOP) level of service will provide a concentrated treatment option for community-based services across New York State.
  • Integrated Services Effective January 1, 2015, New York State authorizes the licensure category “Integrated Outpatient Services” for OMH-licensed providers (14 NYCRR Part 598), OASAS-licensed providers (14 NYCRR Part 825), and DOH-licensed providers (10 NYCRR Part 404). The new regulations further the integration of physical and behavioral health services in clinic settings under a single license.
  • Developmental and Psychological Testing OMH has issued guidance for the new billing requirements of Developmental and Psychological Testing effective July 1, 2019.

Comments or questions about the information on this page can be directed to the Bureau of Financial Planning.