Watch this video to learn more about our billing software!
Watch this video to learn more about our billing services!
Announcements: What is Millin up to?
Register for our Webinar:
CFTSS and Children's HCBS Billing Changes, Effective 12/1/2023
December 6th at 12PM
Effective December 1st, 2023, a series of changes in billing procedures will significantly affect CFTSS and Children's HCBS providers across NY. It is now mandatory to indicate on the claims information (837 file) the county the service took place. A Federal Information Processing Standards (FIPS) code will need to be applied to each claim that is submitted electronically. This change can potentially be overlooked, putting an agency out of compliance, if the EMR/Billing System you are using has not made the necessary changes to accommodate the new requirement.
We will go through the different scenarios in which the use of the new FIPS codes are required for electronic and manual claims submission, and we will show you how Millin integrated this change into the MillinPro system, ensuring this can be billed correctly as of the effective date of 12/1/23.
MillinPro supports a new claim sorting functionality in the Encounters and Accounts Receivable modules, and in the Invoice Search within the Reports module.
You can sort claims with up to three filters per search using the Sort drop-down menu in the upper right corner of the screen. Selecting one filter automatically opens the next Sort filter.
Request A Demo With Millin Staff
Request a demonstration of the system & services Millin has to offer by clicking the button below.
Changes to Billing Requirements for Children's HCBS and CFTSS FAQ
Effective December 1, 2023, NYS is implementing a billing change that will allow claims for Children's Home and Community Based Services (HCBS) and Children and Family Treatment Support Services (CFTSS) to be paid based on the county in which services were provided, rather than a provider's corporate headquarters or central office address. This update is necessary to align with the Centers for Medicare and Medicaid Services (CMS) billing requirements, which dictate that services must be reimbursed based on the location of service delivery.
Billing Requirements for In-Residence Community Habilitation - Residential
For services delivered on and after 11/11/23, billing for in-residence CH-R services will utilize existing rate codes established for provision of service except claim submissions must include a unique identifier to distinguish that the claim is associated with a service that was delivered in the person's certified residence. To accommodate this, providers will need to include a procedure code on the claim submission.
Billing Requirements for HCBS Waiver Services Delivered via Telehealth
Effective November 11th, 2023, providers who deliver Home and Community Based Services (HCBS) waiver services via telehealth must use the following procedure code and modifier when billing these services to Medicaid:
Procedure code, T2025 - Waiver services; not otherwise specified,
Modifier, GT - Via interface audio and video telecommunication systems
The following HCBS waiver services must use these identifiers:
Day Habilitation
Community Habilitation
Community Habilitation-Residential (CH-R)
Prevocational Services - Site Based and Community Based
Notification Regarding Enhanced Rates for Evidence Based Practices (EBPs) within Children and Family Treatment and Support Services (CFTSS)
Effective November 1, 2023, New York State will implement EBP, pending State Plan Amendment (SPA) approval from Centers of Medicare and Medicaid Services (CMS). The State will authorize a selected number of qualified CFTSS’ providers to receive EBP training and bill for new EBP rates. NYS is committed to the promotion and support of Evidence Based Practices (EBPs), specific research supported psycho-therapeutic interventions with demonstrated outcomes, within Children and Family Treatment and Supports (CFTSS).
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