Attention Providers of Section 21 Agency Home Support: Adjusting Past Claims for Part AAAA HCBS Agency Per Diem (T2016 and T2016 SC) Rate Increases

As of May 20, 2022, we have updated Prior Authorizations (PAs) issued prior to May 3, 2022, for Section 21 Home Support- Agency Per Diem (T2016 or T2016 SC) rate adjustments effective January 1, 2022, associated with Part AAAA of P.L. 2021, ch 398. Providers may now adjust claims for these services retroactively to January 1, 2022. Providers have 120 days from the date of this notice to adjust claims; please focus on the oldest dates of service first.

For more details about these rate changes, please see the e-message from May 2, 2022.

Please contact Provider Relations Specialist, Tammy Usher with questions.

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