Report on Minimum Rates for Behavioral Health Services Provided by Community Behavioral
Health Centers
Effective January 3, 2023, for behavioral health services provided by Community Behavioral Health
Centers, EOHHS has directed Managed Care Entities (MCEs) to pay no less than the rates described
below.1
Additional information on payment rates that MCEs contractually agree to pay providers will be included
in future reports.
Encounter Bundle Rates.
Service Code Rate Floor Service Description
Medicaid Certified Community Behavioral Health
T1040-HB $233.90
Clinic Services, per Diem (Adult Services)
Medicaid Certified Community Behavioral Health
T1040-HA $241.86 Clinic Services, per Diem (Child/Adolescent
Services)
Crisis services.
Service Code Rate Floor Service Description
Crisis intervention mental health services, per diem.
S9485 – ET $632.05
(Adult Community Crisis Stabilization per day rate)
Crisis intervention mental health services, per diem.
S9485 – HA, ET $930.73
(Youth Community Crisis Stabilization Per day rate)
Crisis intervention mental health services, per diem.
(Adult Mobile Crisis Intervention provided at
S9485 – HB $632.082 hospital emergency department. Inclusive of initial
evaluation and all follow-up intervention. Use Place
of Service code 23.)
Crisis intervention mental health services, per diem.
(Adult Mobile Crisis Intervention provided at CBHC
S9485 – HE $695.29
site. Inclusive of initial evaluation and first day crisis
interventions.)
Crisis intervention mental health services, per diem.
(Youth Mobile Crisis Intervention provided at
S9485 – HA, HE $695.29
CBHC site. Inclusive of initial evaluation and first
day crisis interventions.)
1
One Care and Senior Care Options (SCO) plans are directed to pay no less than the rates established by EOHHS
for crisis intervention services only. There is no directed minimum rate for other services under these contracts.
2
In current MCE contracts, the minimum rate for S9485-HB is tied to the CBHC rate regulation, 101 CMR 305, and
is $632.08. MassHealth intends to amend this language at the next opportunity and increase the minimum rate to
$695.29, in alignment with the minimum rate for crisis evaluations provided at the CBHC site. This increase will be
effective retroactively to 1/3/23.
 Service Code Rate Floor Service Description
Crisis intervention mental health services, per diem.
(Adult Mobile Crisis Intervention provided at
S9485 – U1 $1,024.64 community-based sites of service outside of the
CBHC site. Inclusive of initial evaluation and first
day crisis interventions. Use Place of Service 15.)
Crisis intervention mental health services, per diem.
(Youth Mobile Crisis Intervention provided at
community-based sites of service outside of the
S9485 – HA, U1 $1,075.87
CBHC site. Inclusive of initial evaluation and first
day crisis interventions. Use Place of Service code
15.)
Crisis intervention service, per 15 minutes. (Adult
Mobile Crisis Intervention provided at CBHC site by
H2011 – HN, HB $30.57 a Paraprofessional or Bachelor’s level staff. Follow-
up interventions provided up to the third day
following initial evaluation.)
Crisis intervention service, per 15 minutes. (Youth
Mobile Crisis Intervention provided at CBHC site by
H2011 – HN, HA $33.94 a Paraprofessional or Bachelor’s level staff. Follow-
up interventions provided up to the seventh day
following initial evaluation.)
Crisis intervention service, per 15 minutes. (Adult
Mobile Crisis Intervention provided at CBHC site by
H2011– HO, HB $39.70 a Master’s level Clinician. Follow-up interventions
provided up to the third day following initial
evaluation.)
Crisis intervention service, per 15 minutes. (Youth
Mobile Crisis Intervention provided at CBHC site by
H2011 – HO, HA $44.33 a Master’s level clinician. Follow-up interventions
provided up to the seventh day following initial
evaluation.)
Crisis intervention service, per 15 minutes. (Adult
Mobile Crisis Intervention provided at a community-
based site of service outside of the CBHC site by a
H2011 – HN, HB $33.94
Paraprofessional or Bachelor’s level staff. Follow-up
interventions provided up to the third day following
initial evaluation. Use Place of Service code 15)
Crisis intervention service, per 15 minutes. (Youth
Mobile Crisis Intervention at a community-based site
of service outside of the CBHC site by a
H2011 – HN, HA $33.94 Paraprofessional or Bachelor’s level staff. Follow-up
interventions provided up to the seventh day
following initial evaluation. Use Place of Service
code 15)
Report on Minimum Rates for Behavioral Health Services Provided by CBHCs 2
 Service Code Rate Floor Service Description
Crisis intervention service, per 15 minutes. (Adult
Mobile Crisis Intervention provided at a community-
based site of service outside of the CBHC site by a
H2011 – HO, HB $44.33
Master’s level clinician. Follow-up interventions
provided up to the third day following initial
evaluation. Use Place of Service code 15)
Crisis intervention service, per 15 minutes. (Youth
Mobile Crisis Intervention provided at a community-
based site of service outside of the CBHC site by a
H2011 – HO, HA $44.33
Master’s level clinician. Follow-up interventions
provided up to the seventh day following initial
evaluation. Use Place of Service code 15)
Specialty Services.
Service Code Payment Rate Service Description
Mental health services, not otherwise specified
H0046-HE $16.92
(Certified Peer Specialist Services).
Additional Services Not Specific to CBHCs:
In addition to the services described above, CBHCs must provide certain services, for which MCEs must
pay no less than the rates below:
Service Code Payment Rate Service Description
Comprehensive community support program, per
diem (Enrolled Client Day) (recovery support service
H2016-HM $19.70
by a recovery advocate trained in Peer Recovery
Coaching)
Comprehensive community support services, per 15
H2015-HF $17.09
minutes (Recovery Support Navigator)
Crisis intervention service, per 15 minutes (mobile
crisis intervention service provided by a
H2011-HN $30.57
paraprofessional, non-community based sites of
services.)
Crisis intervention service, per 15 minutes (mobile
H2011-HO $39.70 crisis intervention service provided by a master-level
clinician, non-community based sites of services.)
Comprehensive community support services, per 15
H2015 $13.97
minutes (Community Support Program)
When directed by EOHHS, Comprehensive
community support services, per diem (Community
H2016-HE $17.30
Support Program (CSP) for members residing in
DHCD-funded new temporary shelters)
Comprehensive community support program, per
H2016-HH $17.23
diem (Enrolled Client Day) (behavioral health
Report on Minimum Rates for Behavioral Health Services Provided by CBHCs 3
 Service Code Payment Rate Service Description
service by a navigator trained to support members
with justice involvement) (CSP-JI)
Report on Minimum Rates for Behavioral Health Services Provided by CBHCs 4
CBHCs may, but are not required to, provide certain other services, for which MCEs must pay no less
than the rates below:
Service Code Payment Rate Service Description
Alcohol and/or drug services; intensive outpatient
(treatment program that operates at least 3 hours/day
and at least 3 days/week and is based on an
H0015 $71.59 individualized treatment plan), including assessment,
counseling; crisis intervention, and activity therapies
or education (Structured Outpatient Addiction
Program, 3.5 hours, not to exceed 2 units a day)
Alcohol and/or drug services; intensive outpatient
(treatment program that operates at least 3 hours/day
and at least 3 days/week and is based on an
individualized treatment plan), including assessment,
H0015-TF $113.82
counseling; crisis intervention, and activity therapies
or education (Enhanced Structured Outpatient
Addiction Program, 3.5 hours, not to exceed 2 units a
day)
Neurobehavioral status exam (clinical assessment of
thinking, reasoning and judgment, e.g., acquired
knowledge, attention, language, memory, planning
and problem solving, and visual spatial abilities), by
96116-AH $120.46
physician o rother qualified health professional, both
face-to-face time with the patient and time
interpreting test results and preparing the report; first
hour
Each additional hour (List separately in addition to
96121-AH $120.46
code for primary procedure)
Psychological testing evaluation services by
physician or other qualified health care professional,
including integrating of patient data, interpretation of
96130-AH $91.39 standardized test results and clinical data, clinical
decision making, treatment planning and report, and
interactive feedback to the patient, family member(s)
or caregiver(s), when performed; first hour
Each additional hour (List separately in addition to
96131-AH $91.39
code for primary procedure)
Neuropsychological testing evaluation services by
physician or other qualified health care professional,
including integration of patient data, interpretation of
96132-AH $91.39 standardized test results and clinical data, clinical
decision making, treatment planning and report, and
interactive feedback to the patient, family member(s)
or caregiver(s), when performed; first hour
Each additional hour (List separately in addition to
96133-AH $91.39
code for primary procedure)
Report on Minimum Rates for Behavioral Health Services Provided by CBHCs 5
 Service Code Payment Rate Service Description
Psychological or neuropsychological test
administration and scoring by physician or other
96136-AH $45.70 qualified health care professional, two or more tests,
any method; first 30 minutes (Test administration
and scoring by professional)
Each additional 30 minutes (List separately in
96137-AH $45.70 addition to code for primary procedure) (Test
administration and scoring by professional)
Psychological or neuropsychological test
96138 $22.85 administration and scoring by technician, two or
more tests, any method; first 30 minutes
Each additional 30 minutes (List separately in
96139