Tag - Crosswalk

Provider Alert!

Provider Alert! Update to the Long-Term Services and Supports Billing Matrix and Crosswalk

Date: July 28, 2023 Attention: STAR kids Providers Billing matrix has been updated effective: July 7, 2023 Call to action: The purpose of this communication is to inform providers of updates made to the LTSS billing matrix effective July 7, 2023. Description of the updates:   Health and Human Services Commission (HHSC) added language to clarify that the U6 modifier must be added to all prior authorizations and encounter claims for state plan LTSS for members in the Medically Dependent Children Program (MDCP) HHSC also made corrections to...

Provider Alert!

Provider Alert! Changes to the Long-Term Services and Supports Billing Matrix and Crosswalk

Date: May 8, 2023 Attention: STAR kids Providers Effective date: July 1, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to notify providers of an upcoming change for the STAR Kids billing matrix effective July 1, 2023 for the revenue code 661. Description of the change:  Currently, the billing matrix reflects revenue code 661 (hourly/quarterly) to be billed with HCPCS code S5151 (Out-of-Home Respite (Facility)). This is incorrect, as the unit should be billed as a per diem rate. Health and...

Provider Alert!

Provider Alert! Changes to the STAR Kids LTSS Billing Matrix and Crosswalk Effective December 1, 2022

Date: October 12, 2022 Attention: All Providers Effective Date: December 1, 2022 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: UPDATE October 10, 2022: On June 1, 2022, the Health and Human Services Commission (HHSC) comprehensively revised the Long-Term Services and Supports (LTSS) Billing Matrices and...