Delaware General Assembly

Out of Committee 3/20/24

Reported from Committee; to list ready for consideration (Ready List)

1/4/24

Longhurst

Sen. Poore

Reps. Chukwuocha, Heffernan, K. Johnson, Neal, Bush, Harris

AN ACT TO AMEND TITLE 31 OF THE DELAWARE CODE RELATING TO ANNUAL BEHAVIORAL HEALTH WELL CHECKS.

House Bill No. 303, with House Amendment No. 2, from the 151st General Assembly created an annual behavioral health well check and required carriers to provide coverage for this service. In order to ensure providers of behavioral health well checks are fairly compensated, HB 303 required carriers to reimburse through common procedural technology (CPT) codes at the same billing rate. The cited CPT codes (99381-99387, 99391-99397) are used for services akin to a typical annual well visit for a new or established patient. Billing for the annual behavioral health well check under these CPT codes may impact the accuracy of state claims data from the Division of Medicaid and Medical Assistance (DMMA) to the Centers for Medicare and Medicaid Services. This Act amends Title 31 of the Delaware Code to allow DMMA to develop and implement new billing codes for a behavioral health well check. These developed codes must be comparable to the rates under the cited CPT codes.

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Takes effect upon being signed into law

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