PNMI Substance Abuse Providers -- Authorization Changes for Selected Codes

April 12, 2011

As of April 7, 2011, PNMI Substance Abuse providers will no longer need approval from APS Healthcare for PNMI Substance Abuse Services. For service dates April 7, 2011 and later, MIHMS PA Billing authorization numbers must not be included on claims for the procedure codes listed below.

Procedure Code Code Modifier

  • H2036

  • H2036 HF

  • H2036 HA

  • H2034

  • H2034 HF

  • T1020 HF

Providers will continue to submit claims using the most recent billing instructions for PNMI Substance Abuse Services.

If you have billing or claims questions, please contact Provider Services at 1-866-690-5585.