Wiki Referral screening (T1023) and assessment (90791)

[kepape]

Hello,

I am curious on if other facilities are using a screening to see if clients are eligible to be seen with them, and then if so also scheduling and completing the assessment and then billing for both. These are typically done on different days.

Thank you!

 

[CBLENNIE]

Would you be billing T1023 to your state's Medicaid program? Medicare does not cover this code and most commercial insurance companies would not cover this service either. I know that the insurance company I work for does not cover this code for our MA plans and commercial plans.

 

[kepape]

Yes, this would be being billed to our state Medicaid plan.

 

[CBLENNIE]

You will need to check with your state's Medicaid program, most likely there will be a provider manual that has information regarding the coverage of these services and when they are allowed to be billed.