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UPDATED NOTICE: STAR Kids and STAR+PLUS LTSS Billing Matrix Update

Date: 05/25/22

In 2019, The Centers for Medicaid and Medicare Services (CMS) directed Health and Human Services (HHS) to update the applicable billing code tables for compliance with the National Correct Coding Initiative. Effective December 1, 2022 the STAR Kids and STAR+PLUS Long-Term Services and Supports (LTSS) updated billing matrices will be published.

To review the current matrices, please visit the HHS:

Superior HealthPlan will be required to issue updated prior authorizations for Superior Medicaid (STAR Kids and STAR+PLUS) LTSS services with new code and modifier combinations no later than October 17, 2022.  

For any questions regarding, please contact your local Account Manager.

Please note: This article is an update from the previously posted article: IMPORTANT NOTICE: STAR Kids and STAR+PLUS LTSS Billing Matrix Update.