Mental Health Care | Behavioral Health | Blue Cross NC Health Programs & Discounts Health In the large group market (51 or more employees), depending on group size, the out-of-network reimbursement methodology can vary: If CMS does not have a reimbursement rate for a specific service, reimbursement is made at one of the alternate pricing methodologies. Espaol | Franais | Within the previous WebBlue Cross and Blue Shield of North Carolina (Blue Cross NC) is working with providers to improve how and when behavioral health concerns are identified and treated. Starting in Fall of 2022, FEP Blue Focus members can receive a $150 MyBlue Wellness Card when they complete their annual physical. In addition, we only use authoritative, trusted, and current sources. If you prefer, you can also chat online by visiting suicidepreventionlifeline.org/chat or texting HOME to 741741. In the event of conflict between a Clinical Payment and Coding Policy and any provider contract pursuant to which a provider participates in and/or provides services to eligible member(s) and/or plans, the provider contract will govern. The protection of your privacy will be governed by the privacy policy of that site. | Please review your coverage document for details. WebAvaility is an independent provider of health information network services that does not provide Blue Cross Blue Shield products or services. For more information, view our privacy policy. | You're risking incarcerations and we're increasing the cost of care for other systems if we can't get them in for a 60-minute out-patient psychotherapy session," Reitmeier said. I have read and agree with the payment policy disclaimer. It identifies, engages, and serves populations who might otherwise be left behind, and delivers tech-enabled, team-based, 24/7 support and care across the continuum of care. Any exceptions are documented as Payment Policies. REIMBURSEMENT POLICY Behavioral Health Professional