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MedicaidBilling CodesMedium impact

24-456 HCPCS Coding Guidance for Select Community Supports Housing Services

Health Net·CA · Psychiatry·Coding
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

CalViva Health updated HCPCS coding guidance for Community Supports housing services outreach efforts, requiring providers to use specific T1016 code combinations with modifiers U8 (in-person) or U8+GQ (telephonic/electronic) for both successful and unsuccessful outreach. These codes will be paid at $0.00 for reporting purposes only and do not affect existing contracts.

Action Required

Action needed
Immediately: Community Supports providers in Fresno, Kings and Madera counties must update billing systems to submit HCPCS code T1016 with modifier U8 for in-person outreach or modifiers U8+GQ for telephonic/electronic outreach for housing services. Bill in 15-minute increments following Rule of Eights for both successful and unsuccessful outreach efforts. Stop reporting once member is enrolled in services. Expect automatic $0.00 payment response for reporting purposes.

Affected Billing Codes

T1016