Health Home Billing

Below are links to most recent resources

Please call Computer Science Corporation (CSC) at (800)343-9000 with questions regarding denied claims

Health Homes Serving Adults and Children

  • Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - Updated April 2022
  • Current Health Home Rate Codes - (Web) - (PDF) - Effective on/after July 2020
  • Medicaid Managed Care Plan Claim Denials for Health Home Services - (Web) - (PDF) - October 2019
  • Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services - (Web) - (PDF) - Effective: July 1, 2018, Revised: March 2019
  • Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2019
  • Coverage Code Compatibility with the Health Home Program - (Web) - (PDF) - Updated January 2020
  • Temporary Health Home Billing Procedures - (Web) - (PDF) - Effective December 1, 2016
  • Outreach Reprogramming Guidance - (Web) - (PDF)

Health Home Serving Adults

  • Health Home Plus (HH+) Rates and Guidance - (PDF) (external link)

Health Home Serving Children

  • HHSC - Message to HH Community RE HH Payments and HHSC - (Web) - (PDF) - July 19, 2016 FINAL
  • Health Home HML Rate For Children - (Web) - (PDF)
  • CSC - Information on Denied Health Home Claims - (Web) - (PDF)
  • eMedNY - New York State Medicaid: Medicaid Eligibility Verification System (MEVS) Methods - (PDF) (external link)