MedicaidBilling CodesMedium impact
New implementation date for Skilled Nursing and Personal Care Shift Services & MA & MP.PA.050.1
UPMC Health Plan·PA · Pediatrics·Coding
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Pennsylvania DHS has delayed the replacement of HCPCS code T1019 with new G0156 codes and modifiers for pediatric aide services. The implementation date has been postponed from August 1, 2023 to October 1, 2023.
Action Required
By October 1, 2023: Billing team must update system to discontinue HCPCS T1019 and replace with G0156 plus appropriate modifiers (U7, SC, TT) based on service type and provider relationship. Update billing software rules to automatically apply correct modifier combinations for pediatric aide services.