QUEST Integration - Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Current Effective Date:

11/10/2016

Prenatal SBIRT

The Screening, Brief Intervention, and Referral to Treatment (SBIRT) pilot project is an effective evidence-based public health approach for reducing risky behavior related to substance misuse. Any Medicaid-contracted obstetrician who is not practicing in a federally qualified health center who provides prenatal care and has undergone SBIRT training provided by Hilopa’a Family to Family Health information Center can be paid separately for SBIRT interventions addressing alcohol, drug and/or tobacco misuse.

This payment is separate from the reimbursement for prenatal care and can only be made to providers who have completed the SBIRT training with Hilopa’a. Obstetricians who are interested in obtaining SBIRT training should contact Hilopa’a at training@hilopaa.org.

Reimbursable screening and brief intervention codes include:

  Reimbursement Codes* Diagnosis Codes**
  Alcohol and/or Drug Smoking
Screening & Brief Intervention

G0396

15 to 30 minutes

99406

3 to 10 minutes

Alcohol use O99.31-

G0397

greater than 30 minutes

99407

greater than 10 minutes

Drug use O99.32-
Smoking O99.33
Providers may also report other non-reimbursable diagnosis such as:  Abuse physical O9A.31-
Abuse psychological O9A.51-
Abuse sexual O9A.41-
Mental disorder O99.34-

*SBIRT codes will pay separately when combined with any obstetrical codes.

**The diagnosis codes start with the letter O and not the number 0.


Revision History

Date Nature of Revision
08/03/2026 Migrated to new platform.