Changes to the Long-Term Services and Supports Billing Matrix and Crosswalk

Date: May 8, 2023
 
Attention: STAR kids Providers

Effective date: July 1, 2023

Call to action: Texas Children’s Health Plan (TCHP) would like to notify providers of an upcoming change for the STAR Kids billing matrix effective July 1, 2023 for the revenue code 661.

Description of the change:  Currently, the billing matrix reflects revenue code 661 (hourly/quarterly) to be billed with HCPCS code S5151 (Out-of-Home Respite (Facility)). This is incorrect, as the unit should be billed as a per diem rate. Health and Human Services Commission will correct this to show revenue code 663 (per diem).

Changes to the STAR Kids Handbook Appendix III, LTSS Billing Matrix and Crosswalk to reflect the updates mentioned above will be made soon. You can check this link for updates: Appendix III, LTSS Billing Matrix and Crosswalk.

Next steps for providers: Providers are encouraged to share this communication with their staff.

Information that was previously published, includes the following:

http://www.thecheckup.org/2022/10/27/provider-alert-changes-to-the-star-kids-ltss-billing-matrix-and-crosswalk-effective-december-1-2022-2/

http://www.thecheckup.org/2022/10/12/provider-alert-changes-to-the-star-kids-ltss-billing-matrix-and-crosswalk-effective-december-1-2022/

http://www.thecheckup.org/2022/08/08/provider-alert-changes-to-the-star-kids-ltss-billing-matrix/

http://www.thecheckup.org/2022/06/13/provider-alert-clarification-for-the-star-kids-ltss-billing-matrix-revisions-2/

http://www.thecheckup.org/2022/04/20/provider-alert-star-kids-long-term-services-and-supports-billing-matrix-revisions/.

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

For access to all provider alerts,log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.