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MedicaidBilling CodesMedium impact

COVID-19: Personal Care Program Services

Missouri Medicaid (MO HealthNet)·MO·Provider Notice
Effective date
Mar 13, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Missouri Medicaid (MO HealthNet) has implemented COVID-19 flexibilities for Personal Care Program services, including new telephone health and welfare check billing codes T1019 with specific modifiers, relaxed aide requirements, and telehealth options for nurse visits. Providers can bill up to 5 hours (20 units) per month above normal authorization for telephone checks using new billing procedures.

Action Required

Action needed
Immediately: Billing team must configure system to bill T1019 with modifier SC (agency model) and T1019 with modifiers U2 & SC (consumer directed services) for COVID-19 telephone health and welfare checks. Update billing rules to allow up to 5 hours/20 units per month above normal authorization. Ensure billing dates do not precede March 13, 2020 and are within same calendar month for from/through date billing.

Affected Billing Codes

T1019