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Office of Mental Health

Fiscal/Billing Resources

Clinic Reimbursement Rates

CPT Procedure Weight and Rate Schedule (REVISED 01/01/2021)
Update reflects discontinuation of 99201 by the AMA. This schedule gives the current base weight, peer group base rates, an updated list of APG/CPT services, definitions and weights. The schedule also includes payment amounts for the CPT coded services based on current peer group rates and procedure weights.

Clinic APG Payment Modifiers

CPT Revenue Calculator
Illustrated Blank (REVISED 03/02/2020)
This tool enables users to calculate the projected revenue for CPT procedures based on current service weights and peer group base rates.

Sample Form UB-04 – MCTAC Billing Tool

OMH Clinic Rates Codes

Clinic FAQs

Billing Guidance for Tobacco Use Disorder in Clinic Settings

Guidance Memo on Opioid Use Disorder Billing

Developmental and Psychological Billing Guidance

Medicaid Managed Care (MMC) APG “Government” Rates

Safety Net

 

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