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Health Homes Bi-weekly Webinar

  • There will be no bi-weekly Health Home Webinar today (8/19).

Rates and Billing Practices

Health Home Forms

Health Home TCM Legacy Rates

Legacy Rate Extension

Please be advised that the Centers for Medicare and Medicaid Services (CMS) has approved the State Plan Amendment to extend the legacy Health Home rates for the former OMH and COBRA Targeted Case Management (TCM) agencies as well as the OASAS Managed Addiction Treatment Services (MATS Agencies) until the implementation of the initial carve-in of the behavioral health care benefit into Managed Care. The current target date for the initial carve-in of the behavioral health care benefit into Managed Care has been extended and legacy providers may continue to bill directly using legacy rates for dates of service up to and including December 31, 2015.


Rate Code Rate Code Description Phase 1 Phase 2 Phase 3
1851 HEALTH HOME/OMH-TCM Effective January 1, 2012 until December 31, 2015 Effective April 1, 2012 until December 31, 2015 Effective July 1, 2012 until December 31, 2015
1852 HEALTH HOME OUTREACH/OMH-TCM
1880 HEALTH HOME/AIDS/HIV CASE MANAGEMENT
1881 HEALTH HOME OUTREACH/AIDS/HIV CASE MANAGEMENT

Rates for the Chronic Illness Demonstration Program (CIDP) were not extended and were in effect for one year as follows:

Rate Code Rate Code Description All Phases
1885 HEALTH HOME/CIDP CASE MANAGEMENT April 1, 2012 –March 31, 2013

OASAS Managed Addiction Treatment Services (MATS) programs will extended as shown below.

Rate Code Rate Code Description Phase 1 Phase 2 Phase 3
1882 HEALTH HOME/MATS Effective August 1, 2012 until December 31, 2015 Effective date of SPA approval until December 31, 2015 Not Applicable