The latest Information Letter No. 17-15 – As of July 10th, some services codes associated with habilitation have been removed by Texas Health and Human Services Commission. CLASS DSA, DBMD program provider, or FMSA are no longer able to submit a service claim that includes any of these service codes described below:
? service codes 10, 10A, and 10V associated with CLASS habilitation; and
? service codes 17 and 17V associated with DBMD residential habilitation.
A CLASS DSA or DBMD program provider may only provide and bill for habilitation or residential habilitation if the activity provided is transportation.
To bill for Community First Choice personal assistance services/habilitation (CFC PAS/HAB) that an individual receives from a CLASS DSA or DBMD program provider, the DSA or DBMD program provider must use service code 10 CFC.
CLASS CMAs, CLASS DSAs, DBMD program providers, and FMSAs must ensure that any individual plan of care (IPC) currently containing service code 10, 10A, 10V, 17, or 17V is revised.
CLASS CMAs, CLASS DSAs, and DBMD program providers must use the applicable, revised IPC form for any IPC, including one concerning a transfer, with an effective date of November 1, 2017 or later.
The revised forms are available on HHSC’s website. For questions about this letter or the implementation of these changes see the information letter here.
