Health Home Billing Archives
Health Home TCM Legacy Rates
Legacy Rate Extension
Please be advised that the DOH is seeking Centers for Medicare and Medicaid Services (CMS) approval under the State Plan Amendment to extend the legacy Health Home rates for the former OMH and COBRA Targeted Case Management (TCM) agencies as well as the OASAS Managed Addiction Treatment Services (MATS Agencies). The requested approval is for the allowance of legacy providers to bill directly using legacy rates for dates of service up to and including November 30, 2016.
| Rate Code | Rate Code Description | Phase 1 | Phase 2 | Phase 3 |
|---|---|---|---|---|
| 1851 | HEALTH HOME/OMH–TCM | Effective January 1, 2012 until November 30, 2016 | Effective April 1, 2012 until November 30, 2016 | Effective July 1, 2012 until November 30, 2016 |
| 1852 | HEALTH HOME OUTREACH/OMH–TCM | |||
| 1880 | HEALTH HOME/AIDS/HIV CASE MANAGEMENT | |||
| 1881 | HEALTH HOME OUTREACH/AIDS/HIV CASE MANAGEMENT |
Rates for the Chronic Illness Demonstration Program (CIDP) were not extended and were in effect for one year as follows:
| Rate Code | Rate Code Description | All Phases |
|---|---|---|
| 1885 | HEALTH HOME/CIDP CASE MANAGEMENT | April 1, 2012 –March 31, 2013 |
OASAS Managed Addiction Treatment Services (MATS) programs will extended as shown below.
| Rate Code | Rate Code Description | Phase 1 | Phase 2 | Phase 3 |
|---|---|---|---|---|
| 1882 | HEALTH HOME/MATS | Effective August 1, 2012 until November 30, 2016 | Effective date of SPA approval until November 30, 2016 | Not Applicable |
