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. Sources:

https://codingintel.com/modifier-cs-cost-sharing-for-covid-19-testing-and-visits-related-to-testing/https://codingintel.com/why-and-when-to-use-modifier-cs/

Next steps for providers: Providers should share this communication with their billing staff. If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.