RON DESANTIS

GOVERNOR

 

SIMONE MARSTILLER

 SECRETARY

 

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FLORIDA MEDICAID
A Division of the Agency for Health Care Administration

 

 

 

Florida Medicaid Health Care Alert

 

April 12, 2022

 


 

Provider Type(s): ALL

Screening, Brief Intervention, and Referral to Treatment (SBIRT) Continuing Medical Education (CME) Opportunity for Providers

The Agency for Health Care Administration (Agency) would like to remind eligible providers of a CME learning opportunity free of cost. The Agency aims to reduce the impact of substance use disorders in Florida by increasing the capacity of health care providers to screen, briefly intervene, and refer to treatment individuals with substance use. In this online CME program, providers will learn how to use SBIRT in their daily practices. This learning event particularly emphasizes SBIRT practice tips in the evaluation and management of pregnant women.

At the conclusion of the CME program, participants will be able to:

  • Perform SBIRT in their daily practice
  • Recognize appropriate circumstances to conduct SBIRT 
  • Select screening tools suitable to the provider’s practice 
  • Recommend appropriate treatment options
  • Apply reimbursement opportunities

The Agency invites all physicians and physician extenders to participate in the training. In particular, obstetricians, family physicians, internal medicine physicians, primary care providers, and hospital physicians are encouraged to participate given their front-line service in health care.

The CME is available to providers online from the University of Florida at the following link: https://cme.ufl.edu/screening-brief-intervention-and-referral-to-treatment-sbirt-for-pregnant-women-and-other-adult-patients/

The CME program expires on August 11, 2023.

MDs and DOs who watch the lecture and receive a passing grade on the quiz will be issued a certificate of completion and receive CME credits. The University of Florida’s CME office will automatically upload the credit into CE Broker for MDs and DOs. PAs and APRNs will receive the credit and certificate of completion if they have a passing score; however, they are required to self-report to CE Broker.

As a reminder, Substance Abuse and Mental Health Services Administration (SAMHSA) SBIRT codes have been added to the Medicaid Practitioner Fee Schedule and are retroactively effective to date of service January 1, 2021. The codes are applicable to fee-for-service and managed care. At this time, only physicians and physician extenders can render SBIRT services. This includes the following provider types:

·      25 – M.D.

·      26 – D.O.

·      29 – PA

·     30 – APRN

Procedure Codes

Code

Description

Medicaid Fee-for-Service Reimbursement Level

H0049

Alcohol and/or drug screening

$17.08

H0050

Alcohol and/or drug screening, brief intervention, per 15 minutes

$28.73

H0049 can be used once per day, as medically necessary and is not limited by age. H0050 is allowed for 0-4 units per day, as medically necessary, and is not limited by age.

The place of service is open for office visits, telehealth, all hospital settings and clinics, and ambulatory surgical centers.

The new SBIRT codes are intended to be used in primary care and other medical settings. These services may be performed and billed in addition to an Evaluation and Management (E&M) service when provided during the same visit. The community behavioral health fee schedule has codes for similar and/or the same services that can be used in behavioral health settings.

The Agency refers to procedure code definitions when it comes to services provided. H0050 is defined as Alcohol and/or drug services, brief intervention, per 15 minutes. H0049 does not include a time specification but should be clinically appropriate.

If you have any questions about the SBIRT codes, please submit them toMedicaidPolicy@ahca.myflorida.com


 

QUESTIONS? FLMedicaidManagedCare@ahca.myflorida.com

COMPLAINTS OR ISSUES? ON LINE http://ahca.myflorida.com/Medicaid/complaints/ | CALL 1-877-254-1055

 

The Agency for Health Care Administration is committed to its mission of providing "Better Health Care for All Floridians." The Agency administers Florida’s Medicaid program, licenses and regulates more than 48,000 health care facilities and 47 health maintenance organizations, and publishes health care data and statistics at www.FloridaHealthFinder.gov. Additional information about Agency initiatives is available via Facebook (AHCAFlorida), Twitter (@AHCA_FL) and YouTube(/AHCAFlorida).

 

 

 

 

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