Waiver Updates
Effective for dates of service on or after November 1, 2006, in compliance with HIPAA, the California Department of Health Services will allow only HCPCS Level II codes and modifiers when billing for the Home and Community-Based Services (HCBS) waiver program. HCPCS Level III codes and modifiers will no longer be reimbursable by Medi-Cal. More information will be available in future Medi-Cal Updates.

Note: For HCBS waiver services that have been previously authorized, HCPCS Level III codes and modifiers will be paid up to May 31, 2007.

For more information, in-state providers may call the Telephone Service Center (TSC) at 1-800-541-5555 from 8 a.m. to 5 p.m., Monday through Friday. Border providers, software vendors and out-of-state billers who bill for in-state providers should call (916) 636-1200.

Code and Rate Correlation Table Changes
The rate for procedure code T1005 (Respite care services, up to 15 minutes) for Personal Care Agency and Employment Agency provider types has changed to $3.62 per unit.

Updated information is reflected on manual replacement page home cd 4 (Part 2).