Information Letter No. 17-20 – Addressed to Nursing Facility Providers on how to bill for Therapies, Customized Manual Wheel Chairs (CMWC) and Durable Medical Equipment (DME) reimbursed through the Preadmission Screening and Resident Review (PASRR) program at HHSC.
Nursing facility providers must review the resident’s Medicaid Eligibility and Service Authorization Verification (MESAV) to verify a service authorization has been
created and to determine which service code was used. Nursing facility providers should then refer to the Long-term Care Bill Code Crosswalk when billing. To
determine which row in the Crosswalk to use the nursing facility must:
• locate the rows with the service code used in the resident’s MESAV; and
• select the appropriate description, where the dates of service being billed are within begin and end dates identified in the last two columns of that row.
The bulleted lists (CLICK LINK TO VIEW) identify the service codes used by HHSC to create the service authorization.