SBIRT Reimbursement

Oregon SBIRT

Oregon SBIRT outlines the process within a team-based environment of the “patient-centered medical home.”  The SBIRT Oregon curriculum begins with teaching a specific office process in which annual screening is conducted by clinic staff using paper or electronic medical record screening tools. They then teach physicians to perform patient-centered brief interventions through video examples and role play. The goal of the demonstrations and training curriculum is to implement a process that can usually be carried out within the context of a 15- minute primary care visit. MA providers can use this resource to learn about how other practices have implemented SBIRT in clinical settings, integrated information into EMR, and developed reimbursement strategies.

WIPHL SBIRT Coding, Billing, and Reimbursement Manual

The Wisconsin Initiative to Promote Healthy Lifestyles (WIPHL) created an SBIRT Coding, Billing, and Reimbursement Manual to provide Wisconsin clinic and administrative staff with guidance on obtaining Medicare, Medicaid and commercial insurance payment for SBIRT services. The document is updated as appropriate to reflect the ongoing changes in policy and regulation.  MA providers can use this resource to learn about how other practices have implemented SBIRT reimbursement strategies.

SAMHSA-HRSA Center for Integrated Health Solutions

 

CIHS promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in behavioral health or primary care provider settings. CIHS has developed SBIRT-specific pages to provide a centralized website with information specific to SBIRT implementation as part of integrated care.  See the financing section under SBIRT for links to reimbursement resources.

Rhode Island-Specific Guidance