Attachment G_Mobile Crisis Medicaid Reimbursement Rates_06.30.2025.xlsx

XLSX spreadsheet 1006 KB Posted

Attached to
Mobile Crisis Services State and local contract opportunity
Solicitation number
2025-052
Issued by
Broome County, New York

About this file

This file is a comprehensive Medicaid reimbursement rate schedule for Mobile Crisis Services issued by New York State, effective 06.30.2025, covering crisis intervention services across downstate and upstate regions. The document outlines detailed rate codes for various mobile and telephonic crisis response services, including licensed and unlicensed provider interventions, with specific parameters for service duration, response types (one-person or two-person), and intervention modes such as telephonic crisis response, mobile crisis response, and crisis follow-up services.

The rate schedule provides granular pricing for different crisis intervention scenarios, with distinct rates for downstate and upstate counties. Downstate counties include New York City's five boroughs (Bronx, Kings, New York, Queens, and Richmond) and additional counties like Dutchess, Nassau, and Westchester. Rates range from $23.86 to $2,519.13 depending on service type, provider licensure, response complexity, and duration. The document notes that rates are subject to change and are pending approval from CMS and the Department of Budget. The rates apply to Medicaid reimbursement and are designed to support comprehensive mental health and substance use disorder crisis interventions across New York State.

View the file

Other files for this state and local contract opportunity

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Mobile Crisis_update 06.30.2025

Crisis Intervention - Mobile/Telephonic Crisis Calculated Rates
*Regional Rates
Note: Prior to 4/1/22 services below were only available via Medicaid Managed Care Organizations (MMCOs) to individuals 21 and older.
***Effective 04/01/2025
Rate codeRate code descriptionPx codePx code descriptionModifierSpecialty codeUnit TypeUnit LimitDownstateUpstate
4609Telephonic crisis response - Licensed (up to 90 min)H2011Crisis Intervention service, per 15 minGT82415 min6$ 65.60$ 58.38
4610**Telephonic crisis response (up to 90 min) - unlicensedH2011Crisis Intervention service, per 15 minGT, HO82415 min6$ 39.36$ 35.03
4611Telephonic crisis response - Licensed (Above 90 min - 3 hours)S9485Crisis Intervention service, per diemGT824per diem1$ 590.42$ 525.47
4612**Telephonic crisis response - unlicensed (Above 90 min - 3 hours)S9485Crisis Intervention service, per diemHO824per diem1$ 354.25$ 315.28
4613Telephonic Crisis follow up - LicensedH2011Crisis intervention service, per 15 minutesTS, GT82415 min4$ 58.31$ 51.90
4614Telephonic Crisis follow up - Unlicensed/Certified PeerH2011Crisis intervention service, per 15 minutesTS, HM82415 min4$ 23.86$ 21.24
4615Mobile crisis response - one person response, Licensed - up to 90 minH2011Crisis Intervention service, per 15 minHE82415 min6$ 104.96$ 93.41
4616Mobile crisis response - two person response - Licensed and Unlicensed/Certified Peer- up to 90 minutesH2011Crisis Intervention service, per 15 minHK82415 min6$ 142.45$ 126.78
4617Mobile crisis response - two person response, both Licensed - up to 90 minutesH2011Crisis Intervention service, per 15 minHE, HK82415 min6$ 209.93$ 186.84
4618Mobile Crisis Response (90 - 180 minutes) Two person response - Licensed and Unlicensed/Certified PeerS9485Crisis intervention mental health services, per diemHE, U5824Per Diem1$ 1,282.06$ 1,141.03
4619Mobile Crisis Response (90 - 180 minutes) Two person response - both licensedS9485Crisis intervention mental health services, per diemHE, HK, U5824Per Diem1$ 1,889.35$ 1,681.52
4620Mobile Crisis Response- Per Diem
Requires a minimum 3 hours of face-to-face contact - Two person response, Licensed and Unlicensed/Certified PeerS9485Crisis intervention mental health services, per diemHE824Per Diem1$ 1,709.41$ 1,521.37
4621Mobile Crisis Response- Per Diem
Requires a minimum 3 hours of face-to-face contact - Two person response, both Licensed.S9485Crisis Intervention mental health service, per diemHE, HK824Per Diem1$ 2,519.13$ 2,242.03
4622Crisis follow up - face to face - One person response, Licensed - up to 90 minutesH2011Crisis intervention service, per 15 minutesTS82415 min6$ 87.47$ 77.85
4623Crisis follow up - face to face - One person response, Unlicensed/Certified Peer - up to 90 minutes
H2011Crisis intervention service, per 15 minutesTS, HE82415 min6$ 32.80$ 29.19
4624Crisis follow up - face to face - Two person response, one Licensed and one Unlicensed/Certified Peer - up to 90 minutesH2011Crisis intervention service, per 15 minutesTS, SC82415 min6$ 120.27$ 107.04
*Downstate counties include the five counties comprising New York City (Bronx, Kings, New York, Queens, and Richmond), Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, and Westchester.
**Rate code 4610 and 4612, telephonic crisis response services may be provided by crisis intervention staff under supervision of a crisis intervention professional when conducting service planning, crisis/safety planning, or care coordination services as outlined in the Medicaid State Plan.

***Rates are subject to change, and are pending CMS and DOB approval.

image1.jpeg image2.png

File details come from the government source that posted it. Updated .