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Tags Posts tagged with "CRT procedure codes"

CRT procedure codes

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The Office of Long-Term Living (OLTL) issued a notice to announce a procedure code change for Cognitive Rehabilitation Therapy (CRT) Services within the OBRA Waiver. Due to 2020 Healthcare Common Procedure Coding System (HCPCS) updates, the procedure code for CRT in the OBRA Waiver is changing from 97127 SE (which was end-dated as of May 25, 2020) to 92507 SE (effective May 26, 2020).

The service definition and units of service will remain the same. OBRA Waiver Cognitive Rehabilitation Providers will be required to utilize “92507 SE” for claims submitted with dates of service 5/26/2020 forward for Cognitive Rehabilitation. The “OLTL Home and Community-Based Waiver Services Rates” sheet has been updated to reflect the change.

Another automated system update is scheduled to occur in HCSIS on 5/29/2020 to add the new “92507 SE” code so it is available for selection onto OBRA Waiver FY 2020-2021 service plans. Service Coordinators (SC) will need to manually add the new service code “92507 SE” onto OBRA Waiver FY 2020-2021 service plans. OLTL’s Participant Services Review Unit within the Division of Fee- For- Service (FFS) Operations will be working directly with impacted OBRA Waiver Service Coordination Entities (SCE) to address any additional FY 2020-2021 service plan updates.

Members that have billing questions regarding this procedure code change or wish to receive the new rates sheet in an alternate format should contact the OLTL Provider Inquiry Unit or 800-932-0939.

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The Office of Long-Term Living (OLTL) released the following notice to Service Coordination Entities (SCEs) regarding a procedure code change for Cognitive Rehabilitation Therapy (CRT) Services.

This notice is to advise all SCEs that due to 2018 Healthcare Common Procedure Coding System (HCPCS) updates, the procedure code for Cognitive Rehabilitation in the Independence and OBRA Waivers will change effective 7/1/18. The service procedure code 97532 SE will be end-dated as of 6/30/2018. The new service procedure code for Cognitive Rehabilitation is 97127 and will be effective 7/1/18. The service definition and units of service remain the same. OLTL requires the attention and assistance of SCEs in order to update the service procedure code for HCSIS Fiscal Year (FY) 2018-2019 service plans.

OLTL is systemically removing the service procedure code of 97532 SE from any impacted HCSIS FY 2018-2019 service plans in order to end-date service contracts and offerings as of 6/30/18 for providers enrolled to render the service. A system update must be completed prior to making the new service procedure code of 97127 available for selection onto service plans.  A data fix is scheduled to occur in HCSIS on 6/21/18 to remove the remaining impacted 97532 SE service lines from FY 2018-2019 service plans. Please do not add the service 97532 SE to any additional FY 2018-2019 service plans as this will impact the success of the data fix. The new service procedure code of 97127 will be added to HCSIS and available for selection onto service plans as of 6/25/18. Service Coordinators (SCs) will be required to add the new service code for impacted FY 2018-2019 service plans.

Once the service is available for selection onto FY 2018-2019 service plans, SCs will then submit a Critical Revision to OLTL for review and approval for the addition of the new service procedure code 97127. OLTL’s Service Plan Review Team within the Bureau of Participant Operations will be communicating with SCEs that are directly impacted by this service procedure code change. A separate email communication will be sent to impacted SCEs to provide additional detail and guidance.

If you have any questions regarding the necessary service plan updates, please contact the Bureau of Participant Operations or Stacey Griffiths with the Bureau of Participant Operations at: 717-724-6547.

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