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MedicaidBilling CodesHigh impact

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

Medi-Cal·CA·Claims & Billing
Effective date
Jul 16, 2026
We identified it
Jul 17, 2026
Days to comply

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.

Action Required

Action needed
Immediately: Billing team must update billing system and submission processes to enforce "from-through" date format for procedure code T2024. Specifically: (1) Configure system to require two date fields (from and through) for T2024 claims, with from date set to one day prior to service completion date; (2) Update claim validation rules to reject single-date submissions with RAD code 0394 notification; (3) Train billing staff on correct format and one-claim-per-member-per-episode limitation; (4) For UB-04 paper submissions, ensure revenue code is included with one unit of service and total charges; (5) For EDI submissions, follow UB-04 EDI specifications for from-through billing. Communicate updated instructions to all correctional facility providers. Failure to use correct format will result in automatic claim denials.

Affected Billing Codes

T2024