Are you a NY provider that bills for Youth or Adult ACT services? Then this blog post is for you!

What is changing?

• As per NYS OMH- for any DOS 1/1/27 and thereafter the rate codes for youth and adult ACT services will change.
• For MCOs- the following plan types are affected by this change: EP, HARP, Managed Medicaid, ChildHealthPlus

The following is the crosswalk between the rate codes for DOS BEFORE 1/1/27 and AFTER

For more information please click here.

Find this content useful? Follow my blog for more!

• BCBS Highmark NY:
• NYS OMH ACT services- new rate codes for 2027
• Aetna trauma response reimbursement
• UHC: new vascular embolization criteria/policy
• UHC: GI endoscopy advance notification and SOS update