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
Rates and Billing Guidance
Health Homes Serving Adults and Children
- Current Health Home Rate Codes – Effective on/after July 2020 (PDF)
- Medicaid Managed Care Plan Claim Denials for Health Home Services – October 2019 (PDF)
- Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services – Effective: July 1, 2018, Revised: March 2019 (PDF)
- Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments – Effective: May 1, 2018, Revised: March 2019 (PDF)
- Coverage Code Compatibility with the Health Home Program – Updated January 2020 (PDF)
- Restriction Exception (R/E) Code Compatibility with the Health Home Program (PDF) – Updated January 2020 (PDF)
- Temporary Health Home Billing Procedures effective December 1, 2016 (PDF)
- Outreach Reprogramming Guidance (PDF)
Health Home Serving Adults
Health Home Serving Children
- HHSC – Message to HH Community RE HH Payments and HHSC – July 19, 2016 FINAL (PDF)
- Health Home HML Rate For Children (PDF)
Billing Resources
Archive
- Health Home Rate Codes in Effect on/after October 2018 (PDF)
- Health Home Rate Codes in Effect on/after October 2017 (PDF)
- Health Home Rate Codes in Effect on/after December 2016 (PDF)
- Health Home HML Rate For Adults- December 2016 (PDF)
- Updated Billing Guidance - November 2016 (PDF)
- Restriction Exception (R/E) Code Compatibility with the Health Home Program- May 9, 2017 (PDF)
- Phase 1 and Phase 2 Health Home Serving Children- October 27, 2015 (PDF)
- Behavioral Health Transition – April 2015 (PDF)
- Health Home Base Rates (PDF)
- TCM legacy Rate Extension
- Billing Guidance for the Administration of the NYS Eligibility Assessment for Behavioral Health Home and Community Based Services (BH HCBS) and the NYS Community Mental Health Assessment (PDF)
