SafeRide Health (SRH) is the new provider for all NEMT rides to doctor appointments and pharmacy visits.
Depending on your needs, rides may include wheelchair-lift-equipped vehicles, stretcher vans, minivans, or ambulatory vans. Please let SRH know what type of ride you need when scheduling.
SafeRide Health (SRH) es el nuevo proveedor de todos los servicios de transporte médico que no son de emergencia (NEMT, por sus siglas en inglés) hacia consultas médicas y farmacias.
Según tus necesidades, los servicios de transporte pueden incluir vehículos con elevador para sillas de ruedas, camionetas con camilla, minivans o camionetas ambulatorias. Por favor, informa a SRH qué tipo de transporte necesitas al programar tu traslado.
Therapy modifiers
A modifier must be used to indicate when treatment services have been rendered by a licensed therapist/ physician or a therapy assistant under supervision of a licensed therapist.
The following modifiers are not required for evaluation or re-evaluation codes because those services may not be rendered by therapy assistants.
UB – Services delivered by a licensed therapy assistant under supervision of a licensed therapist.
U5 – Services delivered by a licensed therapist or physician.
Claims for co-treatment services must be submitted with modifier U3:
U3 – Therapy Co-Treatment Modifier
Use of approved modifiers
HCPCS modifiers established for dates of service on or after January 1, 2015 will be processed by Texas Children’s Health Plan in the following manner:
XE – Separate encounter – Texas Children’s Health Plan will process payment for this modifier upon original submission
XP – Separate practitioner – Texas Children’s Health Plan will process payment for this modifier upon original submission
XS – Separate structure – Texas Children’s Health Plan will process payment for this modifier upon original submission
XU – Unusual non-overlapping service – Texas Children’s Health Plan will deny this modifier upon original submission and request medical records to support the use of the modifier
All claims are subject to retrospective review by Texas Children’s Health Plan Compliance Department and payment may be amended after this retrospective medical records review if the requested medical records do not support the use of the modifier.
These above modifiers do not replace the approved modifier 59 for separate and distinct service. However, claims submitted with modifier 59 should be filed as a paper claim with supporting medical records attached. Claims will deny unless medical records are attached. Modifier 59 usage should be limited to only those situations where one of the modifiers above does not apply. Providers should always use the most descriptive modifier available.
For more information on Texas Children’s Health Plan processing of these modifiers, please contact Provider Relations at 832-828-1008 or 1-800-731-8527.
