MedicaidBilling CodesHigh impact
Billing update for PACT services
Harvard Pilgrim Health Care·MA · Psychiatry·Reimbursement
We identified it
Jun 20, 2026
Summary
Point32Health has updated billing instructions for PACT (Program of Assertive Community Treatment) services, expanding coverage to Senior Care Options members and changing modifier requirements. 50-slot programs now use U1 modifier instead of previous coding, and 80-slot programs use U2 modifier instead of HT modifier.
Action Required
Immediately: Update billing system to use correct modifiers for PACT services - H0040 U1 for 50-slot programs and H0040 U2 for 80-slot programs (replacing HT modifier). Forensic programs continue using H0040-H9. Train billing staff on new modifier requirements and update encounter forms. Verify system can process U1 and U2 modifiers before submitting claims.