Behavioral Health Integration
The contact between visits, for the patients hardest to reach.
The contact between the visits, for a behavioral health condition being managed inside primary care.
Your team reviews. Your provider signs.
Eligibility
Who qualifies for BHI.
The contact between the visits, for a behavioral health condition being managed inside primary care.
Behavioral Health Integration99484 · CoCM 99492 to 99494
The patient
A behavioral health condition being managed inside primary care.
If that does not describe your patient, nothing below applies.
The month
Twenty minutes of clinical staff time a month for general BHI. Collaborative care is a bigger build: a care manager, a psychiatric consultant, and seventy, sixty or thirty minutes by code.
Read it one patient at a time, exactly as it is written above.
Consent
Our record for this program does not set out how consent is taken, or whether a visit has to come first, so this page states neither. That is a gap in what we hold, not a rule that either one is unnecessary.
How consent is taken and recorded, and whether a visit has to come first, are not settled on this page. We will not print a rule we cannot source. Ask us before you enroll anyone.
Not sure whether your patients count? Talk to us and we will go through your panel with you.
Programs are what your practice bills. HANA does not bill, and its call time is never counted as clinical time. Requirements here are the Medicare rules as they stand in October 2026 and are worth checking against your MAC before you rely on them.
What it pays
What BHI pays.
One base code, one patient, one month. National, before adjustment. Not what you collect.
$57.45
Twenty minutes of clinical staff time a month on a behavioral health condition being managed inside primary care.
Medicare pays
$45.96
Patient owes
$11.49
Part B coinsurance. A known enrollment obstacle.
The code family
What else the same patient's month can carry. Same basis as the figure.
- 99484The base code on this page.$57.45
BHI · Who does what
HANA does the volume. Your team does the deciding.
HANA does the reaching out and the writing up. Every clinical judgement stays with your people, and nothing bills until a person on your team approves it.
HANA does
The work that repeats
- Makes the between-visit contact that decides whether a plan holds or quietly lapses.
- Administers the instrument your protocol asks for, by voice, and records the score with its date.
- Watches the direction of travel rather than a single answer, and calls sooner when it worsens.
Your team does
Never delegated
Anything that sounds like risk reaches a person live, not a queue. Diagnosis, medication and treatment stay with your clinicians.
Your team reviews, your provider signs.
What the month leaves in the record
- Instrument score with date
- Call summary
- Escalation record
The record is built while the work happens, not afterwards.
How it works
Forty-five minutes a patient.
We take it under thirty.
One coordinator. Same hours. Two hundred and fifty patients instead of a hundred and fifty.
Hana calls · you set the protocol
It calls from your number until someone picks up. Then medications, symptoms, and what changed.
Hana routes · your team decides
Anything clinical goes to your team, with the reason and the transcript attached.
Your clinician reviews · Hana writes
The note is in the chart before your team opens it. Under that patient, not in a spreadsheet.
You submit · Hana supplies the evidence
Every minute attributed to the person who earned it, ready to attest on the first.
You set the escalation rules. A person on every clinical flag, an audit trail on every call, minutes totalled per patient.
45-60min
per patient, per month, today
What a coordinator spends on one enrolled patient when the calling, the chasing and the note are all done by hand.
120-160
the caseload that caps at
Which is why most programs stall well short of what the panel could support.
29min
what HANA is built for
Same coordinator, same hours, toward 250 patients. HANA makes the calls; your team reviews and attests.
Your team reviews it. Your provider signs it. Nothing is billed until a person on your team approves it.
The month is written up before you start your time.
Every contact HANA makes is recorded and summarised straight into the patient's record. When your clinician opens the patient, the month is already there, and the time they log is their own: reviewing, acting on what HANA flagged, and attesting. Not typing.
0:00
Time your team spends writing the month up
4
Documented contacts waiting when they open the chart
Time log · an example month
BHI 99484Reached on the second attempt. Symptoms stable, questions answered.
HANA call · summarised
Medication taken as planned. One new concern noted for the clinician.
HANA call · summarised
Reported change against the threshold your clinicians set. Escalated live.
HANA call · flagged to the threshold you set
Plan reconfirmed. Time attributed, note in the chart, waiting for review.
HANA call · summarised
Your clinician's time
Review and attest
2:44
Program math
The rate is set. The enrollment is not.
Medicare sets the rate. You set how much of your eligible panel is on the program, and that is where the whole figure comes from.
One program, one month
What a month of this program comes to
Set the panel and the enrollment. The rate is the multiplier and it sits still.
$575
estimated, per month
10 of 250 eligible patients enrolled on BHI. 99484, CY2026 rate.
Eligibility is yours to count. BHI asks for this: A behavioral health condition being managed in primary care. The marks are starting points, not claims about your panel.
How the figure is built
10 enrolled patients on BHI 99484, at $57.45 each, comes to $575 a month.
$57.45
per enrolled patient, per month · Behavioral Health Integration · 99484 · CoCM 99492 to 99494
The arithmetic
250 eligible patients4% enrolled10 on the program
10 on the program$57.45 per patient, per month$575 a month
What the code pays for. Twenty minutes of clinical staff time a month on a behavioral health condition being managed inside primary care.
99484, national non-facility, Medicare PFS CY2026.
The 4% default: in 2019, that share of eligible Medicare fee-for-service patients was actually enrolled. Enrollment has grown since, so read it as a floor. Source: Colligan E et al., “Analysis of 2019 Medicare Fee-for-Service Claims for Chronic Care Management and Transitional Care Management Services”, NORC at the University of Chicago for HHS ASPE, March 2022..
An estimate, not a quote and not billing advice. One base code per enrolled patient per month, before add-on codes, geography, sequestration and the patient's share, and it assumes every enrolled patient bills every month, which no real month does. Check it against your MAC.
Have a chat with HANA.
Give us your number. It calls in about ten seconds. Talk to it like a patient would, then let your team try it.
Hear Hana handle a real patient conversation.
Enter your details. Hana texts you to confirm, then calls within seconds, so you can hear it for yourself.
Questions practices ask
Before you start.
A behavioral health condition being managed inside primary care. The condition is being treated by the primary care team, not referred away.
Twenty minutes of clinical staff time a month for general BHI. Collaborative care is a bigger build: a care manager, a psychiatric consultant, and seventy, sixty or thirty minutes by code.
No, and the difference matters. General BHI is 99484: twenty minutes of clinical staff time in a calendar month. Collaborative care is 99492 to 99494 and is a bigger build, needing a behavioral health care manager and a psychiatric consultant. The figure on this page is 99484 only.
Anything that sounds like risk reaches a person live, not a queue. Diagnosis, medication and treatment stay with your clinicians. Escalation is live, on the call, to the person your protocol names, against thresholds your clinicians set, and a crisis goes to emergency services.
99484 is CY2026 $57.45 national non-facility, before geographic adjustment, for one patient in one calendar month. It is not what the practice collects: sequestration and the standard Part B patient coinsurance both come off, and the amount varies by locality. There is no figure on this page for collaborative care.
No. HANA makes contact, asks what your clinicians asked it to ask, and writes it up. Diagnosis, medication and treatment stay with your clinicians, and nothing bills until a person on your team approves it.
Verbally or in writing, once, and documented in the record. The patient agrees to the practice consulting specialists, including a psychiatric consultant, and is told that cost sharing applies. A new consent is only needed if they change billing practitioner.
New patients, and anyone not seen in the past year, start at a face-to-face visit where BHI is discussed: a level 2 to 5 office visit, an annual wellness visit or an initial preventive physical exam.
Physicians of any specialty, nurse practitioners, physician assistants, clinical nurse specialists and certified nurse midwives. Staff time runs under general supervision. General BHI needs neither a psychiatric consultant nor a dedicated care manager; collaborative care needs both. Only clinical staff time counts toward the twenty minutes, so HANA's call time never does.
Yes, in the same month, if the patient has consented to both, each meets its own rules, and no minute counts toward both. A practice billing advanced primary care management bills general BHI as the add-on G0570 instead, without counting minutes. In a given month, a practitioner bills either general BHI or collaborative care, not both.
As proposed in July 2026, nothing in BHI's requirements. The proposal that would require staff employed by the practice covers remote monitoring only, and the rule proposes higher values for collaborative care. The final rule is expected around November 2026.
Ready when you are
Hear it make the call. Then decide.
Bring your panel numbers. We will go through which programmes your patients already qualify for, and what your team would still do.
- Your patients, your claim
- Your team reviews and attests
- Nothing bills until a person approves