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KMAP BULLETIN: CCBHC PPS Codes List Telehealth Clarifications and Code Updates

Date: 04/04/25

KMAP GENERAL BULLETIN 25066 (PDF)

Effective with dates of service on and after January 1, 2025, the following Telephone Evaluation and Management service codes will be discontinued from the Certified Community Behavioral Health Clinic (CCBHC) program and removed as Prospective Payment System (PPS) trigger codes.

 Procedure Code 
99441
99442
99443

 

These codes will remain valid for dates of service prior to January 1, 2025.

Note: The effective date of the policy is January 1, 2025. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.

For changes resulting from this bulletin, view the updated CCBHC Fee-for-Service Manual, Section 8400, page 8-7.