340B + BH Billing — CMHC & FQHC 2026

340B integration with BH billing creates unique compliance requirements for CMHCs/FQHCs providing psychiatric medications.

340B + BH Compliance 2026

• Patient definition — bona fide provider relationship
• Diversion prevention
• Duplicate discount prevention — Medicaid rebate conflicts
• Medicaid managed care carve-in vs carve-out
• Contract pharmacy arrangements

Common Errors

1. Non-BH-eligible patient receiving 340B psych med
2. Duplicate discount on Medicaid MCO claims
3. Modifier JG missing on Medicare claim
4. Modifier TB missing on Medicaid claim

FQHC/CMHC SFS guide · Free audit

– KD, Revenant Care