Substance abuse insurance billing requirements for behavioral health providers
SAMHSA’s 2024 National Survey on Drug Use and Health, released on July 28, 2025, estimated that 48.4 million people aged 12 or older (16.8%) had a substance use disorder in the past year. About 10.2 million of the people classified as needing treatment received it. Each of those episodes produces a claim, and substance abuse insurance billing requirements are less uniform than those for most outpatient specialties. A session can be billed correctly to Medicare and rejected by a state Medicaid plan that wants a different code, a different modifier and a different unit of service.
https://mentalhealthbilling.us..../substance-abuse-ins