Consumer Direct Services (CDS) Rates and Billing Changes Effective Immediately March 1, 2014 Please note HHSC has updated the LTSS Codes and Modifiers and associated reimbursement for these services effective March 1, 2014. To receive the $1.00 administrative fee, please ensure all CDS services are billed with the corresponding T2040. Here are some examples on how to bill for these services: HCPCS Code Modifier Units Rate Amount Owed S5125 U3 9999 UC 10 $10.96 $109.60 T2040 U3 10 $1.00 $10.00 Grand Total for SPW-Waiver Claim $119.60 HCPCS Code Modifier Units Rate Amount Owed S5125 99 99 99 UC 10 $9.89 $98.90 T2040 U7 10 $1.00 $10.00 Grand Total for Non Waiver Claim $108.90 ***BOTH HCPCS codes MUST be present on the claim to pay appropriately*** MHTPS_CDS_021814 39359TX0214
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