MedicaidBilling CodesMedium impact
Updates to Multisystemic Therapy Requirements
Nebraska Medicaid·NE · Psychiatry·Specialty Services
Effective date
Aug 1, 2025
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid has clarified billing procedures for Multisystemic Therapy (MST) services, requiring the use of HCPCS code H2033 for clinical contact and H2033 with modifier 52 for non-clinical MST conferences. The policy also specifies what activities cannot be billed and documentation requirements for MST conferences.
Action Required
By August 1, 2025: Billing team must update system to bill MST clinical contact services using HCPCS H2033 and MST conferences using H2033 with modifier 52. Update billing software to prevent billing for supervision, staff meetings, court appearances, scheduling, text messages, progress reports, and no-show outreach activities. Ensure documentation requirements are met for MST conferences focusing on specific treatment goals.