HCA Increases Managed Care Behavioral Health Payment Rates

October 13, 2021

The 2021-23 state operating budget also included a two percent increase for all services paid through the behavioral health portion of the managed care capitation rates. The increase is in the form of a premium increase to the Medicaid managed care plans, directed toward increases to their negotiated contracts with behavioral health entities.  The two percent increase applies to behavioral health entities that are not paid under the professional fee schedule.

This rate increase is retroactively effective back to April 1, 2021. Providers will see this change effective in their payments beginning in October 2021; however, there are multiple contracting arrangements and other factors that may affect timing for these distributions. More information available here. (Andrew Busz, AndrewB@wsha.org)


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