Provider Alert! Modifier CS: cost sharing for COVID-19 testing and visits
Date: August 11, 2021
Attention: All Providers
Effective Date: July 27, 2021
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Modifier CS is not allowable when submitting a Medicaid or CHIP claim related to COVID-19 testing and visits related to testing.
How this impacts providers: Providers that bill with Modifier CS for all TCHP lines of business will deny with message “invalid; used for Medicare/Commercial Only”. This is effective July 27, 2021, when the modifier CS is populated in any position on the claim.
Next steps for providers: Providers should share this communication with their billing staff.
If you have any questions, please email Provider Network Management at: firstname.lastname@example.org.