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Changes to the STAR Kids LTSS Billing Matrix and Crosswalk Effective December 1, 2022
Date: October 12, 2022 Attention: All ProvidersEffective Date: December 1, 2022Providers 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 incorporated National Correct Coding Initiative (NCCI)-related revisions.
The changes for STAR Kids/STAR Health include the following:
- A new row 1 containing a revision date was added to the matrix.
- Row 2 was amended to read, “*All services and HCPCS codes are applicable to STAR Health. Modifiers do not apply to STAR Health.”
- A new row was added for T2002 with a U6 modifier with description that reads, “Prescribed Pediatric Extended Care transportation (MDCP)”
- Row 37 in the “Summary of Changes” tab was amended to read, “Updated to CFC / MDCP only as this is paid through CFC”