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MedicaidReimbursementMedium impact

KMAP BULLETIN: CCBHC Specialty Designation for PPS - Service Code Additions - Supported Housing

Kansas Medicaid (KanCare)·KS · Psychiatry·Coding
Effective date
Jun 1, 2024
We identified it
Jun 21, 2026
Days to comply
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Summary

Effective June 1, 2024, HCPCS code H0037 for Supported Housing Services (OCI and ICI) is now included as a CCBHC service that triggers Prospective Payment System (PPS) reimbursement instead of Fee-for-Service rates. Non-CCBHC Community Mental Health Centers will continue using Fee-for-Service per diem rates for the same code.

Action Required

Action needed
Immediately: Billing teams at Certified Community Behavioral Health Clinics (CCBHCs) must verify that HCPCS code H0037 for Supported Housing Services triggers PPS payment in billing systems. Review provider credentials to confirm CCBHC designation status, as this determines payment methodology. Non-CCBHC Community Mental Health Centers should continue billing H0037 under their CMHC NPI for Fee-for-Service rates. Monitor the KanCare Open Claims Resolution Log for MCO implementation status and potential reprocessing dates.

Affected Billing Codes

H0037

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