Updates to STAR Kids Long-Term Services and Supports (LTSS) Billing Update 

December 9, 2022

Reminder

Effective December 1, 2022, Texas Health and Human Services Commission (HHSC) will make updates to the STAR Kids Long-Term Services and Supports (LTSS) billing matrixes. This notification contains important billing information for providers participating in these programs.

Frequently Asked Questions

How will providers receive updated prior authorizations that contain the new procedure codes and modifiers?

All prior authorization requests and claims for LTSS services for service rendered 12/1/2022 going forward should contain the updated procedure codes and modifiers found in Appendix III, LTSS Billing Matrix and Crosswalk.

How will providers receive updated prior authorizations that contain the new procedure codes and modifiers?

Blue Cross and Blue Shield of Texas (BCBSTX) Service Coordinators have reissued the impacted authorizations. Please contact the Service Coordination team at 1-877-301-4394, if you have not received all of the expected updates.

Resources

BCBSTX Article posted 11/9/2022: STAR Kids Long-Term Services and Supports (LTSS) Billing Update 

Clarification to “Updated Medicaid Managed Care Long-Term Services and Supports (LTSS) Billing Matrices Effective December 1, 2022”

Updated Medicaid Managed Care Long-Term Services and Supports (LTSS) Billing Matrices Effective December 1, 2022

Questions

Providers, for questions or additional information, please