MedicaidBilling CodesHigh impact
COVID-19: Home Health
Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Mar 13, 2020
We identified it
Jun 20, 2026
Summary
Missouri Medicaid (MO HealthNet) has implemented COVID-19 flexibilities for home health and personal care services, including new telephone health check billing codes T1019 with modifiers SC and U2, waived training requirements, and expanded telehealth options for nurse visits. These emergency provisions allow up to 5 additional hours per month for telephone wellness checks and permit family members to serve as caregivers under relaxed background check requirements.
Action Required
Immediately: Billing team must add HCPCS code T1019 with modifier SC (agency model) and T1019 with modifiers U2 & SC (consumer-directed services) to billing system for COVID-19 telephone health checks. Update system to allow up to 5 hours (20 units) per month above normal authorization levels. Ensure billing dates do not precede March 13, 2020 and require proper documentation with 'telephone check' task notation. Train staff on new telehealth billing options for authorized nurse visits.