These tables list the allowable POS codes that providers are required to use when submitting claims for CRS.
The following table lists the allowable POS codes for community living supportive services (H0043-U8).
Place of Service | |
---|---|
02 | Telehealth Provided Other Than in Patient's Home |
10 | Telehealth Provided in Patient's Home |
12 | Home |
13 | Assisted Living Facility |
14 | Group Home |
The following table provides a crosswalk between the POS typically utilized by counties and tribes and what these facilities are considered for Medicaid billing purposes.
Common Name | Considered As | Place of Service Code |
---|---|---|
CBRF | Group Home | 14 |
AFH | Group Home | 14 |
RCAC | Assisted Living Facility | 13 |
Supported Apartment | Home | 12 |
The following table lists the allowable POS codes for supported employment (H2023) and peer support services (H0038).
Place of Service | |
---|---|
02 | Telehealth Provided Other Than in Patient's Home* |
03 | School* |
04 | Homeless Shelter* |
05 | Indian Health Service Free-Standing Facility* |
06 | Indian Health Service Provider-Based Facility* |
07 | Tribal 638 Free-Standing Facility* |
08 | Tribal 638 Provider-Based Facility* |
10 | Telehealth Provided in Patient's Home* |
11 | Office* |
12 | Home |
13 | Assisted Living Facility |
14 | Group Home |
16 | Temporary Lodging |
19 | Off CampusOutpatient Hospital* |
33 | Custodial Care Facility* |
50 | Federally Qualified Health Center* |
53 | Community Mental Health Center* |
55 | Residential Substance Abuse Treatment Facility* |
57 | Non-Residential Substance Abuse Treatment Facility* |
71 | Public Health Clinic* |
72 | Rural Health Clinic* |
99 | Other Place of Service** |
* Travel reimbursement is not available for these POS codes.
** CRS are reimbursed only when provided in a community setting. Services provided in an institution, such as a hospital, IMD, or state institutes are not reimbursable.