Payment Strategies for Coordinated Specialty Care (CSC)

This resource was selected by SMI Adviser content partners and approved by the SMI Adviser clinical expert team for inclusion in the knowledge base.

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.

This white paper 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.


Access more resources from the Meadows Mental Healthy Policy Institute here.

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