Attention Local Education Agency (LEA) Providers: Behavioral Health Procedure Codes Added to the School-Based Medicaid Program (IB 25-23)

Date: 09/02/25

Louisiana Healthcare Connections is sharing a publication issued on August 29, 2025 to the attention of Local Education Agency (LEA) Providedrs: Behavioral Health Procedure Codes Added to the School-Based Medicaid Program (IB 25-23).

Code	SBMP - Behavioral Health Services	Rate
H0004	Behavioral health counseling and therapy, per 15 minutes	$10.00
H0005	Alcohol and/or drug services; group counseling by a clinician	$10.00

Please refer to the EPSDT Health Services – Provider Type 70 fee schedule to view other covered services and the codes listed above.

General questions related to the addition of these codes should be directed to Gainwell Technologies Provider Relations at (800) 473-2783 or (225) 924-5040.