MedicaidBilling CodesMedium impact
Newsletter Vol. 14, No. 45
New Jersey Medicaid·NJ · PM&R (Physical Medicine & Rehab), Neurology, Psychiatry·Provider Notice
We identified it
Jun 20, 2026
Summary
A new HCPCS code S5109 has been introduced for billing In-Home Supported Day Program Services under the Traumatic Brain Injury (TBI) Waiver Program. This code enables billing for specialized day program services delivered in home settings for TBI patients.
Action Required
Billing team must add new HCPCS code S5109 to billing system for In-Home Supported Day Program Services under TBI Waiver Program. Update encounter forms and fee schedules. Ensure staff are trained on proper use of this code for TBI waiver patients receiving home-based day program services.