topics Policy Research Coordinated Specialty Care – Payment Strategies

Coordinated Specialty Care – Payment Strategies

The delivery of coordinated specialty care (CSC) in early psychosis programs transforms lives by changing the trajectory of schizophrenia for youth and young adults.  Unfortunately, the future of early psychosis programs is at risk because current reimbursement models do not sustainably support the provision of CSC services. To eliminate this risk, it is vital that health plans and providers develop and implement coding and billing practices specific to evidence-based practices that sustain the delivery of the CSC model in early psychosis programs.

In January 2020, The Meadows Institute issued a report that highlights the need for coordinated specialty care and recommends the use of existing billing codes that offer a consistent national, multi-payer reimbursement method so people experiencing a first episode of psychosis, and who have Medicaid and/or commercial insurance, can access these services.

View or download the full report Payment Strategies for Coordinated Specialty Care.