As a reminder, eligible providers are reimbursed when they complete the required Level of Care Utilization System (LOCUS) and Michigan Child and Adolescent Needs and Strengths (MichiCANS) mental health screening assessments for Priority Health Medicaid members.
These assessments may be conducted in person or via telehealth, when clinically appropriate and consistent with applicable MichiCANS requirements.
Billing for Medicaid mental health screening assessments
Providers must submit claims using the HCPCS codes and modifiers outlined below. These can also be found in our Behavioral Health billing policy (#054) under Mental Health Screener Assessments (pg. 4). Note: Approved codes are limited to what’s listed below and should be used regardless of the national description associated with the procedure code.
| Assessment type | Procedure code | Modifier |
| MichiCANS screener | H0002 | 7Y |
| LOCUS | H0031 | WX |
Resources
Refer to the Standardized Mental Health Assessment Guide, available through the Michigan Department of Health and Human Services (MDHHS) for assessment, billing and reimbursement guidance.
MDHHS may amend existing policies or implement new requirements as needed. When this occurs, we’ll communicate any necessary clarifications or updates as they become available.