Modifiers U1 and U2 Required for Certain Claims Submitted with Procedure Code T1015 by RHC Providers

Date: June 25, 2025

Attention: Rural Health Centers (RHCs) Providers

Call to action: The purpose of this communication is to inform providers that beginning June 5, 2025, for dates of service on or after January 1, 2024, rural health centers (RHCs) that submit certain claims with procedure code T1015 must include:

• Modifier U1 for licensed professional counselors (LPCs).
• Modifier U2 for licensed marriage and family therapists (LMFTs).

The Texas Health and Human Services Commission (HHSC) will use these modifiers to better determine how patients use services that are provided in the RHC setting.

TMPPM Manual Update

The Texas Medicaid & Healthcare Partnership (TMHP) will update the following sections in the Texas Medicaid Provider Procedures Manual (TMPPM), Clinics and Other Outpatient Facility Services Handbook to include the U1 and U2 modifiers:

• Section 7.2.1.1, “Encounter Rates”
• Section 7.2.1.3, “Freestanding Rural Health Clinic Services”
• Section 7.2.3, “Hospital-Based Rural Health Clinic Services”

CSHCN Provider Manual Update

TMHP will also add the U1 and U2 modifiers to the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, Chapter 19: Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC), subsection 19.2.1, “General Medical Services.”

Next step for providers: Providers should share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.