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
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - September 2024
- Current Health Home Rate Codes - (Web) - (PDF) - Corrected August 2024
- Medicaid Managed Care Plan Claim Denials for Health Home Services - (Web) - (PDF) - October 2019
- Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services - (Web) - (PDF) - Effective: July 1, 2018, Revised: March 2019
- Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2024
- Temporary Health Home Billing Procedures - (Web) - (PDF) - Effective December 1, 2016
- Outreach Reprogramming Guidance - (Web) - (PDF)
Health Home Serving Adults
- Health Home Plus (HH+) Rates and Guidance - (PDF) (external link)
Health Home Serving Children
- UPDATED Health Home Serving Children Care Management Core Services Requirements and Billing Policy HH0017 September 2024 - (Web) - (PDF)
- HHSC Core Service Requirements Policy FAQ September 2024 - (Web) - (PDF)
- Home and Community Based Services (HCBS) Children's Waiver Eligibility Assessment Fee Guidance - (Web) - (PDF) - 5.31.2024 - Updated August 27, 2024
- HHSC - Message to HH Community RE HH Payments and HHSC - (Web) - (PDF) - July 19, 2016 FINAL
- Health Home HML Rate For Children - (Web) - (PDF)
Billing Resources
Archive
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - July 2024 ARCHIVED September 2024
- Home and Community Based Services (HCBS) Children's Waiver Eligibility Assessment Fee Guidance - (Web) - (PDF) - 5.31.2024 - Archived August 2024
- Health Home Rate Codes - (Web) - (PDF) - Corrected July 2024 - Archived August 2024
- Health Home Rate Codes - (Web) - (PDF) - Updated May 2024 - Archived July 2024
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - November 2023 Archived July 2024
- Coverage Code Compatibility with the Health Home Program - (Web) - (PDF)
- Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2019 Archived March 2024
- Health Home Rate Codes - (Web) - (PDF) - Updated April 2024
- Health Home Rate Codes - April 2023 - (Web) - (PDF) - Updated April 2024
- Health Home Rate Codes - (Web) - (PDF) - Updated May 2022
- Health Home Rate Codes in Effect on/after April 2022 - (Web) - (PDF) - Updated May 2022
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (PDF) - July 2023
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (PDF) - April 1, 2022
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (PDF) - February 2021
- Health Home Rate Codes in Effect on/after July 2020 - (Web) - (PDF)
- Health Home Rate Codes in Effect on/after October 2018 - (Web) - (PDF)
- Health Home Rate Codes in Effect on/after October 2017 - (Web) - (PDF)
- Health Home Rate Codes in Effect on/after December 2016 - (Web) - (PDF)
- Health Home HML Rate For Adults - (Web) - (PDF) - December 2016
- Updated Billing Guidance - (Web) - (PDF) - November 2016
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - May 9, 2017
- Phase 1 and Phase 2 Health Home Serving Children - (Web) - (PDF) - October 27, 2015
- Behavioral Health Transition - (Web) - (PDF) - April 2015
- Health Home Base Rates - (Web) - (PDF)
- TCM legacy Rate Extension - (Web)
- 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 - (Web) - (PDF)