Development on the Home Care Uniform Billing Rate Codes
On Oct. 24th, LeadingAge NY and other home care associations were asked to comment on the long-awaited Department of Health (DOH) Dear Administrator Letter (DAL) regarding the home care uniform billing rate codes under Medicaid managed care. We had expected DOH to release the rate codes to home care providers and managed care plans earlier this year. DOH still expects full implementation of the codes by the end of this year.
The uniform billing rate codes have been under development for well over a year as a result of advocacy during the Home and Community-Based Care workgroup meetings. Most home care agencies still have multiple contracts with managed care plans which entailed multiple sets of codes and modifiers. Developing and implementing uniform billing rate codes, along with electronic payment of claims via Electronic Funds Transfer (EFT), were to be fully implemented by January 2016.
LeadingAge NY will keep members posted when the DAL is finalized.
Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871