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Medi-CalMedicaid · Billing Codes · Claims & Billing · CAHigh impact

Justice-Involved (JI) Reentry Initiative: Billing Requirements for Care Management Bundle 4, Procedure Code T2024

Act
immediately
Effective date
Jul 16, 2026
Identified
Jul 17, 2026

Summary

Effective immediately, procedure code T2024 (Reentry Care Plan) for Justice-Involved reentry initiatives must be billed using "from-through" date format, with the "from" date as the day prior to service completion and "through" date as the completion date. Claims not following this format will be denied with RAD code 0394. Additionally, T2024 may only be billed once per member per episode of incarceration.

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What to do

immediately · 7 steps
01Billing team must update billing system and submission processes to enforce "from-through" date format for procedure code T2024.
02Configure system to require two date fields (from and through) for T2024 claims, with from date set to one day prior to service completion date.
03Update claim validation rules to reject single-date submissions with RAD code 0394 notification.
04Train billing staff on correct format and one-claim-per-member-per-episode limitation.
05For UB-04 paper submissions, ensure revenue code is included with one unit of service and total charges.
06For EDI submissions, follow UB-04 EDI specifications for from-through billing.
07Communicate updated instructions to all correctional facility providers.
If missed: Failure to use correct format will result in automatic claim denials.

Codes mentioned

T2024

Original notice

Justice-Involved (JI) Reentry Initiative: Billing Requirements for Care Management Bundle 4, Procedure Code T2024
mcweb.apps.prd.cammis.medi-cal.ca.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Medi-Cal policiesCA policy changesCode T2024

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