Back to dashboard
MedicaidBilling CodesMedium impact

MAB2023070501

Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, Psychiatry +1 more·Provider Bulletin
Effective date
Jul 5, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medicaid now covers street medicine services provided to homeless beneficiaries in their lived environment (under bridges, encampments, etc.). Eligible providers must use Place of Service 15 with modifier U2 when billing for these services.

Action Required

Action needed
Immediately: Billing team must update system to use Place of Service (POS) 15 with U2 modifier when providing services to Medicaid beneficiaries experiencing unsheltered homelessness in their lived environment. Update billing software rules for eligible provider types (physicians, CRNPs, PAs, CNMs, psychologists, MMHT providers, MH practitioners). Verify updated MA Program Fee Schedule for approved codes with POS 15 + U2 combination.