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MedicaidBilling CodesMedium impact

MAB2023092902

Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, General Practice +4 more·Provider Bulletin
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) is expanding eligible provider types for street medicine services to homeless individuals and changing the billing location code from POS 15 with U2 modifier to POS 27 (Outreach Site/Street) effective October 1, 2023.

Action Required

Action needed
By October 1, 2023: Billing teams serving Pennsylvania Medicaid patients providing street medicine services to unsheltered homeless individuals must update billing systems to use Place of Service (POS) code 27 instead of POS 15 with U2 modifier. Verify your provider type/specialty combination is eligible for street medicine billing per the expanded list. Continue using POS 15 with U2 modifier for dates of service before October 1, 2023.