Health Home Billing
Below are links to most recent resources
Please call Computer Science Corporation (CSC) at (800)343-9000 with questions regarding denied claims
Rates and Billing Guidance
Health Homes Serving Adults and Children
- Current Health Home Rate Codes - (Web) - (PDF) - May 2025
- Restriction Exception (R/E) Code Compatibility with the Health Home Program - (Web) - (PDF) - Updated April 24, 2025
- Medicaid Managed Care Plan Claim Denials for Health Home Services - (Web) - (PDF) - October 2019
- Medicaid Managed Care Plan Billing and Payment Protocol for Health Home Services - (Web) - (PDF) - Effective: July 1, 2018, Revised: March 2019
- Billing and Documentation Guidance for Health Home Adult Rates with Clinical and Functional Adjustments - (Web) - (PDF) - Effective: May 1, 2018, Revised: March 2024
- Temporary Health Home Billing Procedures - (Web) - (PDF) - Effective December 1, 2016
- Outreach Reprogramming Guidance - (Web) - (PDF)
Health Home Serving Adults
- Health Home Plus (HH+) Rates and Guidance - (PDF) (external link)
Health Home Serving Children (HHSC)
- Updated Children's Care Management Core Services Requirements and Billing Policy #HH0017 - (Web) (PDF) - November 4, 2024, Updated March 2025
- UPDATE HHSC Level of Support (Acuity) Adjustment FINAL - (Web) - (PDF) - April 2025
- UPDATED High Fidelity Wraparound (HFW) Core Requirements within HHSC Program - (Web) - (PDF) - January 2025
- Announcing HHSC Revised Rates and High-Fidelity Wraparound (HFW) Rate Implementation - (Web) - (PDF)
- HHSC Core Service Requirements Policy FAQ September 2024 - (Web) - (PDF)
- HCBS Children's Waiver Eligibility Assessment Fee Guidance - (Web) - (PDF) - 5.31.2024 - Updated August 27, 2024
- HHSC - Message to HH Community RE HH Payments and HHSC - (Web) - (PDF) - July 19, 2016 FINAL
- HH HML Rate For Children - (Web) - (PDF)
