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New Mexico MedicaidMedicaid · Coverage · Specialty Services · NM · PsychiatryMedium impact

Supplement 26-01: Permanent Supportive Housing and Tenancy Support Services (PSH-TSS)

Effective date
Jul 18, 2025
Identified
Jun 21, 2026

Summary

New Mexico Medicaid has expanded coverage for Permanent Supportive Housing and Tenancy Support Services (PSH-TSS) under the 1115 Waiver, effective July 18, 2025. Eligible providers must use procedure code H0044 for monthly reimbursement and H0043 with specific modifiers for utilization tracking of pre-tenancy and tenancy support services.

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What to do

Action · 3 steps
01Before July 18, 2025: Billing teams at eligible New Mexico providers must update billing systems to include procedure codes H0044 (monthly reimbursement) and H0043 with modifiers U1-U7 for pre-tenancy services and U8-UD for tenancy support services.
02Ensure billing software recognizes that H0043 codes are for tracking only and do not generate separate reimbursement.
03At least one H0043 code must be billed with each H0044 claim for reimbursement approval.

Codes mentioned

H0044H0043

Original notice

Supplement 26-01: Permanent Supportive Housing and Tenancy Support Services (PSH-TSS)
hca.nm.gov · Always check the source before changing claims.
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Related policy hubs

New Mexico Medicaid policiesNM policy changesPsychiatryCode H0044Code H0043

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