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Revised List of Authorization-Waived Behavioral Health CPT Codes 

In 2022, to meet the growing demand for therapy and medication management for mental health conditions, we temporarily lifted the authorization requirement for initial consultations and some routine care services. We appreciate your help in caring for our patients to help us meet this surge in demand.

Now that we have stabilized our internal services and access, as well as our contracted provider network, we are working with our patients to internalize their care for some services including medication management and psychiatric follow-up care to the Mid-Atlantic Permanente Medical Group (MAPMG).

Effective June 11, 2025, the following CPT codes once again require authorization and have been removed from the list of authorization-waived services:

CPT Code

Description

H0014

ALCOHOL AND/OR DRUG SERVICES; AMBULATORY DETOXIFICATION

G2068

MEDICATION ASSISTED TREATMENT, BUPRENORPHINE; WEEKLY

90833

PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN

90836

PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN

90838

PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN

99202

OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES

99203

OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES

99204

OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES

99205

OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES

99211

OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP

99212

OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN

99213

OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN

99214

OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN

99215

OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54

Pre-authorization is still not required for initial consultations and some services.

The full list of authorization-waived CPT codes and their descriptions are listed below:

 

CPT Code

Description

H0020

ALCOHOL AND/OR DRUG SERVICES; METHADONE ADMIN/SERVICE

G2067

MEDICATION ASSISTED TREATMENT, METHADONE; WEEKLY

G2078

TAKE HOME SUPPLY OF METHADONE; UP TO 7 ADD DAY SUPPLY

S0109

5 MG ORAL DOSE OF METHADONE

90791

PSYCHIATRIC DIAGNOSTIC EVAL

90792

PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES

90832

PSYCHOTHERAPY W/PATIENT 30 MINUTES

90834

PSYCHOTHERAPY W/PATIENT 45 MINUTES

90837

PSYCHOTHERAPY W/PATIENT 60 MINUTES

90846

FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS

90847

FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS

90849

MULTIPLE FAMILY GROUP PSYCHOTHERAPY

90853

GROUP PSYCHOTHERAPY

90839

PSYCHOTHERAPY FOR CRISIS

90840

EACH ADDITIONAL 15” FOR CRISIS

G0176

ART THERAPY

96127

BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT

99307

SUBSEQUENT NURSING FACILITY CARE (10 MIN)

99308

SUBSEQUENT NURSING FACILITY CARE (15 MIN)

99309

SUBSEQUENT NURSING FACILITY CARE (25 MIN)

99310

SUBSEQUENT NURSING FACILITY CARE (35 MIN)

Introducing Kaiser Permanente’s Attestation Portal for Validating Provider Information

We are pleased to announce the launch of the Kaiser Permanente Attestation Portal, a streamlined and efficient platform designed to simplify your attestation processes for validating provider information. This portal offers a user-friendly interface for submitting and managing your 90-day provider demographics attestations with ease and accuracy.

Outlined below are several resources detailing the features and functionalities of the Attestation Portal:

Should you have any questions about the Attestation Portal or other Online Affiliate features, please visit the Online Affiliate Support Site at https://kpnationalclaims.my.site.com/support/s/

Thank you for your continued partnership and commitment to maintaining accurate provider information. We look forward to working with you to streamline and enhance our processes.

 

Members have the right to free language services for health care needs. We provide free language services including:

  • 24-hour access to an interpreter: When members call to make an appointment or talk to their personal physician, if needed, we will connect them to a telephonic interpreter.
  • Translation services: Some member materials are available in the member’s preferred language.
  • Bilingual physicians and staff: In some medical centers and facilities, we have bilingual physicians and staff to assist members with their health care needs. They can call Member Services or search online in the medical staff directory at kaiserpermanente.org.Braille or large print:
    Blind or vision impaired members can request for documents in Braille or large print or in audio format.
  • Telecommunications Relay Service (TRS): If members are deaf, hard of hearing, or speech impaired, we have the Telecommunications Relay Service (TRS) access numbers that they can use to make an appointment or talk with an advice nurse or member services representative or with you.
  • Sign language interpreter services: These services are available for appointments. In general, advance notice of two or three business days is required to arrange for a sign language interpreter; availability cannot be guaranteed without sufficient notice.
  • Educational materials: Health education materials can be made available in languages other than English by request. To access Spanish language information and many educational resources go to kp.org/espanol or kp.org to access La Guía en Español (the Guide in Spanish). Members can also look for the ñ symbol on the English language Web page. The ñ points to relevant Spanish content available in La Guía en Español.
  • Prescription labels: Upon request, the KPMAS pharmacist can provide prescription labels in Spanish for most medications filled at the Kaiser Permanente Pharmacy.

At Kaiser Permanente, we are committed to providing quality health care to our members regardless of their race, ethnic background or language preference. Efforts are being made to collect race, ethnicity and language data through our electronic medical record system, HealthConnect®. We believe that by understanding our members’ cultural and language preferences, we can more easily customize our care delivery and Health Plan services to meet our members’ specific needs.

Currently, when visiting a medical center, members should be asked for their demographic information. It is entirely the member’s choice whether to provide us with demographic information. The information is confidential and will be used only to improve the quality of care. The information will also enable us to respond to required reporting regulations that ensure nondiscrimination in the delivery of health care.

We are seeking support from our practitioners and providers to assist us with the member demographic data collection initiative. We would appreciate your support with the data collection by asking that you and your staff check the member’s medical record to ensure the member demographic data is being captured. If the data is not captured, please take the time to collect this data from the member. The amount of time needed to collect this data is minimal and only needs to be collected once. Recommendation for best practices for collecting data is during the rooming procedure.

In conclusion, research has shown that medical treatment is more effective when the patient’s race, ethnicity and primary language are considered.

To access organization wide population data on language and race, please see our Diversity & Inclusion Annual Report*.

To obtain your practice level data on language and race, please email the Provider Relations Department at Provider.Relations@kp.org.

All of our medical plans are located in Maryland, Virginia, or the District of Columbia or is a Federal plan. Each jurisdiction has unique guidelines for billing claims such as member balance billing. Be sure to know the member’s plan situs to ensure appropriate claim processing.

Finding the situs of a member’s plan is simple. Locate the member’s plan name when verifying the member benefits in Kaiser Permanente Online Affiliate. The plan name is under Coverages & Benefits. The Payor/Plan name will contain one of the following as part of the plan name:

  • Maryland or MD
  • Virginia or VA
  • District of Columbia or DC
  • Federal or FD (Maryland guidelines apply to Federal plans)

Some examples of what you will see online are:

  • Payor/Plan
    • MAS KP-MEDICAID MCO MARYLAND / MD MEDICAID PLAN (20325) 0718
    • MAS KP-MID ATLANTIC / VA KPIF ON HCR HMO SILVER $15/$40 (3787

If you are uncertain about the situs of a member’s plan, please contact our Member Services Call Center at 1-800-777-7902.

If you are not registered for access to Kaiser Permanente Online Affiliate, you may register online at kp.org/providers/mas.