Don’t Be Denied, HCBS Providers: DHS Will Enforce Waiver Billing Changes

Beginning March 5, all Home and Community-Based Services (HCBS) providers – including Adult Day Services and Customized Living – must bill each date of service on a separate line for all HCBS claims submitted. DHS will deny any claims that use a date span instead of individual lines for each date.  

We encourage HCBS providers to review Billing for Waiver and Alternative Care (AC) Program section of the MHCP Provider Manual, which has been updated with information on implementing this change. 

Billing each date of service on a separate line promotes consistency, reduces errors and ensures the appropriate use of billing codes. DHS said practice is valuable for reducing claim denials related to duplication with other claims for dates when a client is admitted into a hospital or nursing facility setting.

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