May 15, 2023 · The provider should refer to the Medicaid Program Policy manuals and/or billing instructions on billing for these services. Reimbursement may differ from the fee schedule depending …

Apr 7, 2023 · When multiple modifiers need to be reported, modifier 99 comes to the rescue! It’s an elegant solution that simplifies reporting in situations where multiple modifications are necessary, …

Please use the waiver billing guide below, which outlines procedure codes, required modifiers and unit increments.

Review description and fee schedules for HCPCS Code T2031, intended for National Codes Established for State Medicaid Agencies, and compare rates across different payers.

May 20, 2025 · 15-minute unit In-home family therapy; 15-minute unit Medical Day Care for Children Mental health outreach; 15-minute unit Nursing (RN); Per visit

Feb 8, 2022 · This document is for reference purposes only. This is not intended to be a comprehensive billing handbook, but rather to answer the most asked questions from the Assisted Living industry.

T2031 is a valid 2026 HCPCS code for Assisted living; waiver, per diem or just “ Assist living waiver/diem ” for short, used in Other medical items or services.

Carriers are quick to spot improper HCPCS code billing. Take your HCPCS Coding Compliance up a notch with related Medicare Transmittals and Manuals right at code level.

Providers should submit claims within 30 days after rendering services. There is a 180-day timely filing limit. Providers are required to share the VA referral/authorization number with the ancillary providers …

Dear Provider: The Department of Health Care Services (DHCS) waived off timeliness penalties for Assisted Living services claims billed with HCPCS code T2031 (assisted living; waiver, per diem) …