MedicaidBilling CodesMedium impact
New Justice-Involved Youth (JIY) Travel Payment for EPSDT Provider’s Travel to Carceral Facilities
Alabama Medicaid·AL · Pediatrics, Family Medicine, Internal Medicine +1 more·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Oct 26, 2026
Summary
Alabama Medicaid introduces a new $50 travel payment (CPT 99429) for EPSDT providers delivering screenings to justice-involved youth in carceral facilities, effective July 1, 2026. The payment is in addition to the existing $88 EPSDT screening rate, with a limit of two payments per calendar year per beneficiary. Providers must use POS code 09 and be enrolled with Specialty 560 to bill this service.
Action Required
Already effective 2026-07-01: Verify whether the practice has implemented the new JIY travel payment billing workflow. Billing team should confirm: (1) CPT 99429 is configured in the billing system with $50 (physician) or $40 (CRNP/PA) reimbursement; (2) POS code 09 is required on claims for both EPSDT screening codes (99381–99385 with EP modifier or 99391–99395 with EP modifier for periodic screenings; 99202–99205 with EP modifier or 99211–99215 with EP modifier for interperiodic screenings) and CPT 99429; (3) provider enrollment includes Specialty 560 to bill EPSDT and CPT 99429; (4) the two-payment-per-calendar-year limit per eligible beneficiary is enforced in the billing system; (5) FQHCs/RHCs bill CPT 99429 outside the PPS rate; and (6) BMI requirement is applied to EPSDT screenings in carceral facilities with POS code 09. Contact Provider Assistance Center at 800-688-7989 for billing questions or physicians.program@medicaid.alabama.gov for EPSDT program policy questions.