DHS Issues MA Bulletin on Behavioral Health Group Therapy in an FQHC/RHC

The Pennsylvania Department of Human Services (DHS) released a Medical Assistance (MA) Bulletin that addresses Behavioral Health Group Therapy provided in FQHCs and Rural Health Clinic (RHC) settings. MA Bulletin 08-20-03 applies to FQHCS and RHCs who are MA enrolled and provide services to MA beneficiaries in a fee-for-service (FFS) or through managed care delivery systems. DHS has added the HQ modifier to procedure code T1015 to identify behavioral health group therapy encounters provided by FQHCS and RHCs. This is effective beginning Sept. 15, 2020 and the T1015 code is to be billed when a behavioral health group therapy session is led by a psychiatrist, licensed clinical psychologist, licensed clinical social worker (LCSW), licensed professional counselor (LPC) or licensed marriage and family therapist (LMFT).