MedicaidCoverageMedium impact
New Coverage for B4100 U1 – SIMPLY THICK FOOD THICKENER ORAL - CONCENTRATE/1 OZ
Arkansas Medicaid·AR · Physical Therapy, Occupational Therapy, Speech Therapy +1 more·Provider Notice
Effective date
Nov 1, 2025
We identified it
Nov 3, 2025
Summary
Effective November 1, 2025, Arkansas Department of Human Services added coverage for Simply Thick Food Thickener Oral – Concentrate/1 oz under procedure code B4100 U1. Billing teams must implement this new HCPCS code with 6 units per day at $2.20 per unit for home health, hospital, and therapy services.
Action Required
By November 1, 2025: Billing team must update billing system to recognize and allow billing of HCPCS code B4100 U1 (SIMPLY THICK FOOD THICKENER ORAL - CONCENTRATE/1 OZ) with modifier U1 for HHLTH (PT 14) and MEDSP (PT 16 & 38) contracts. Configure the system to allow maximum 6 units per day at $2.20 per unit. Update internal documentation and provider guidance materials to include this new covered supply. Verify system changes are in place before the effective date to prevent claim rejections. Notify applicable providers (home health, hospital, PT/OT/SLP services, physicians, prosthetics/DME, and private duty nursing) of the new coverage and billing requirements.