Regulatory updates
Effective 4/1/2018, Universal Billing Codes for Home Care and Adult Day Health Care Services will be required!
The New York State Public Health Law has been amended to require universal standards for coding of payment for home and community based long term care services claims. Specifically, it requires these codes to be based on universal billing codes approved by the Health Department and be consistent with any codes developed as part of the uniform assessment system for long term care established by the Department. Any claims under contracts or agreements between any long term care providers and managed long term care plans or managed care plans are required to be processed using the universal standards for coding of payments.
Please visit New York State Department of Health for a final set of universal codes with respective modifiers