Bill > HB78

This bill amends Kentucky law to require health insurers to provide reimbursement for mental health services delivered through the Psychiatric Collaborative Care Model (CoCM), a specific evidence-based integrated behavioral health service delivery method. The bill defines the Psychiatric Collaborative Care Model and mandates that insurers reimburse specific billing codes (99492, 99493, and 99494) associated with this model when providing mental health coverage. Insurers retain the ability to deny reimbursement based on medical necessity, but must do so in compliance with the Mental Health Parity and Addiction Equity Act and follow existing utilization review requirements. The bill defines key terms such as "mental health condition" and expands the understanding of mental health treatment to include various service types like outpatient, inpatient, residential, and crisis stabilization services. These requirements will apply to all health benefit plans issued, delivered, or renewed on or after January 1, 2026, giving insurers time to adapt to the new regulations. The legislation aims to improve access to integrated mental health care by ensuring standardized reimbursement for this collaborative care approach.

Business and Industry

https://apps.legislature.ky.gov/record/25RS/hb78.html