We want to clarify recent changes in the Financial Management Services Agencies (FMSA) billing unit. Please continue to bill FMSA units for STAR Kids and STAR+PLUS as 1 unit per month per member. Additionally, the FMSA code “T2040” should be paired with the appropriate modifier to avoid denied claims. By using the proper STAR Kids, STAR+PLUS billing codes, claims will be paid at the appropriate rate of 1 unit per month per member.
Reminder: The claims’ filing deadline is 95 days from the date of service.
Disregard description information
Because the T2040 code is used nationally by the Centers for Medicare & Medicaid Services (CMS) and the UnitedHealthcare prior authorization and claims systems are shared by multiple states, the T2040 code description can’t be edited to indicate the HHSC update for Texas only.
Please disregard the information on your UnitedHealthcare authorization letters or on the UnitedHealthcare Provider Portal indicating 1 unit per 15 minutes. This information is not valid for Texas. You should continue to bill using the updated 1 unit per month per member rate.