BH Modifier Update for Nurse Practitioners

Modifier SA is used when the Nurse Practitioner (NP) is assisting with any other procedure that does not include surgery in accordance with MTL No. 3336-18-01. This is currently a requirement for Medical claims, and in order to better align OH Medical with Behavioral health services, Buckeye will now require the SA modifier for non-84/95 provider types on the Behavioral health services beginning 11/01/2023.  Provider claims where the Nurse Practitioner is assisting with any other procedure that does not include surgery that are not billed with the SA modifier will be denied beginning 11/01/2023.