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MedicaidBilling CodesHigh impact

July 2024 Medicaid Information Bulletin

Utah Medicaid·UT · Psychiatry, General Practice·Government Programs
Effective date
Jul 1, 2024
We identified it
Jun 21, 2026
Days to comply

Summary

Utah Medicaid released comprehensive policy updates effective July 1, 2024, including new billing codes for behavioral health services (replacing T1001 with 99211+CG modifier), updated LTAC hospital billing requirements (revenue code 0100 instead of 0760), and expanded coverage for supportive living and ambulatory detoxification services.

Action Required

Action needed
Immediately: Update billing systems for behavioral health nurse medication management to use CPT 99211 with CG modifier instead of T1001. LTAC providers must switch to revenue code 0100 and use bill types 11X, 12X, 41X with value codes 80/81. School-based providers can now bill personal care services using IEP as service plan retroactively to July 1, 2023. Behavioral health providers can begin billing H2016 for supportive living services for fee-for-service members.

Affected Billing Codes

H2016
T1001
99211
T1019