Dyadic Services Added as Medi-Cal Benefits and Psychotherapy Updates
November 1, 2022
Effective for dates of service on or after January 1, 2023:
- Dyadic services and dyadic caregiver services are added as Medi-Cal benefits.
- Modifier U1 is defined to designate dyadic services.
- Family therapy for interparental conflict between caregivers of children ages 0 to 20 years, when at least one caregiver is identified as a primary caregiver of a Medi-Cal eligible child, is added as a Medi-Cal benefit.
- Up to six psychotherapy sessions per provider per year for recipients 21 years and older with persistent mental health symptoms in the absence of a mental health disorder are added as Medi-Cal benefits.
Dyadic services are preventive behavioral health services for recipients ages 0 to 20 years and/or their caregivers. Medi-Cal reimburses the following dyadic services for recipients ages 0 to 20 years, when billed to the child’s Medi-Cal ID with the U1 modifier:
- Dyadic Behavioral Health (DBH) Well-Child Visits (H1011)
- Dyadic Comprehensive Community Support Services, per 15 minutes (H2015)
- Dyadic Psychoeducational Services, per 15 minutes (H2027)
- Dyadic Family Training and Counseling for Child Development, per 15 minutes (T1027)
For more information about dyadic services, refer to the Non-Specialty Mental Health Services: Psychiatric and Psychological Services section of the provider manual.
Dyadic Caregiver Services
Dyadic caregiver services include the following assessment, screening, counseling and brief intervention services provided to the caregiver:
- ACE screening (G9919, G9920)
- Alcohol and drug Screening, Assessment, Brief Interventions and Referral to Treatment (SABIRT) (G0442, H0049, H0050)
- Brief emotional/behavioral assessment (96127)
- Depression screening (G8431, G8510)
- Health behavior assessments and interventions (96156, 96167, 96168, 96170, and 96171)
- Psychiatric diagnostic evaluation (90791, 90792)
- Tobacco cessation counseling (99406, 99407)
Dyadic caregiver services listed above are provided to the caregiver for the benefit of the child. These services may be billed using the child’s Medi-Cal ID when delivered during a child’s visit attended by the child and caregiver and must be designated using Modifier U1.
For more information about dyadic services, dyadic caregiver services, and psychotherapy updates, refer to the Non-Specialty Mental Health Services: Psychiatric and Psychological Services section of the provider manual.