For Dates of Service Before October 1, 2023

Place of Service Codes

Allowable POS codes for the behavioral treatment benefit are listed in the following table. Behavioral assessment and treatment may occur in the home, community, or clinic. Based on standard Wisconsin Medicaid definitions of POS that constitute "home" and "clinic," the following codes are allowed.

POS Code Description
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 Campus—Outpatient Hospital
49 Independent Clinic
50 Federally Qualified Health Center
71 Public Health Clinic
72 Rural Health Clinic

Note: When behavioral treatment services are provided in community settings, such as parks, public libraries, or stores, providers should list POS code 12 (Home) on the claim.