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IOP and PHP Billing Codes, MHPAEA Parity Rights, and Denial Prevention in 2026 Intensive outpatient and partial hospitalization programs operate under a separate billing framework from standard outpatient mental health: using UB-04 claim forms, revenue codes, condition codes, and a combination of per-diem and per-component billing that differs by payer type, while the MHPAEA 2025 Final Rule, effective January 1, 2026, gives behavioral health practices new legal tools to challenge discriminatory prior authorization and session limit policies

The end product obtained was CaT (Scheme 1)

Kalluri, R., & Weinberg, R