TO: Office of Long-Term Living (OLTL) Cognitive Rehabilitation Therapy Providers
RE: Procedure Code Change for Cognitive Rehabilitation Therapy Services
This notice is to advise Cognitive Rehabilitation Therapy Providers that due to 2018 Healthcare Common Procedure Coding System (HCPCS) updates, the procedure code for Cognitive Rehabilitation in the Independence and OBRA Waivers will change effective 7/1/18. The service procedure code 97532 SE will be end-dated as of 6/30/2018. The new service procedure code for Cognitive Rehabilitation is 97127 and will be effective 7/1/18. The service definition and units of service remain the same. Cognitive Rehabilitation Providers will be required to utilize 97127 for claims submitted with dates of service 7/1/18 forward for Cognitive Rehabilitation. OLTL’s HCBS Fee Schedule has been updated to reflect the change and is attached for reference.
OLTL is systemically removing the service procedure code of 97532 SE from any impacted HCSIS FY 2018-2019 service plans in order to end-date service contracts and offerings as of 6/30/18 for providers enrolled to render the service. A system update must be completed prior to making the new service procedure code of 97127 available for selection onto service plans. A data fix is scheduled to occur in HCSIS on 6/21/18 to remove the remaining impacted 97532 SE service lines from FY 2018-2019 service plans. The new service procedure code of 97127 will be added to HCSIS and available for selection onto service plans as of 6/25/18 for Service Coordinators (SCs). Service Coordinators (SCs) will be required to add the new service code for impacted FY 2018-2019 service plans. OLTL’s Bureau of Participant Operations will be working directly with impacted SCs to address the service plan updates.
If you have any questions regarding the procedure code change, please contact the OLTL Provider Inquiry Unit at [log in to unmask] or 1-800-932-0939.
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Please share this email with other members of your organization as appropriate. Also, it is imperative that you notify the Office of Long-Term Living for changes that would affect your provider file, such as addresses and telephone numbers. Mail to/pay to addresses, email addresses, and phone numbers may be updated electronically through ePEAP, which can be accessed through the PROMISe™ provider portal. For any other provider file changes please notify the Bureau of Quality and Provider Management Enrollment and Certification Section at 1-800-932-0939 Option #1.
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