Provider Alert! STAR Kids Billing Matrix

Provider Alert!

Provider Alert! STAR Kids Billing Matrix

Attention STAR Kids Providers Effective 06/05/2017
Updated STAR Kids Billing Matrix

The STAR Kids billing matrix has been updated to include the registered nurse modifier (TD) to the private duty nursing (PDN) billing code, T1000. Additionally, the billing codes for PDN independently enrolled LVNs and RNs have been added to the matrix. The Revenue Code 663 was added to the Out-of-Home Respite codes. This billing matrix will become effective for dates of service June 5, 2017 and forward. Failure to use this billing matrix will result in denials for incorrectly billed services.

For more detail, please visit TexasChildrensHealthPlan.org for additional information on the following topics.

June 5, 2017 Billing Matrix
LTSS Billing Procedures
STAR Kids Handbook
Long Term Care Provider Bulletin, No. 69
Contact Provider Relations

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