Reimbursement
Fee schedules, Medicaid rate changes, CCBHC prospective payment and value-based behavioral health contracts.
Analysis — Aug 23
POS 10 pays $31.73 more than POS 02 on a Medicare telehealth therapy hour
One digit on the claim moves a 60-minute session from $135.27 to $167.00. The place-of-service rule, what CMS actually instructs for each telehealth modifier, and why behavioral health keeps flexibilities that general telehealth loses at the end of 2027.
Analysis — Aug 22Medicare pays $167.00 for a 60-minute therapy session in 2026
The full behavioral health fee schedule, pulled from CMS: every psychotherapy and testing code, work RVUs, and what the 2026 conversion factor actually does to your rate.
Analysis — Aug 21Medicaid psychotherapy spending hit $6.68 billion, up 156% in seven years
Higher payment per service drove most of it, not more providers. That is the detail that decides whether your rates hold when utilization review catches up.
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