Texas Medicaid: Revenue code update for STAR Kids respite care
Effective July 1, 2023, the Texas Health and Human Services Commission (HHSC) will update the revenue code for STAR Kids respite care for Medically Dependent Children Program (MDCP).
Currently, the STAR Kids billing matrix reflects revenue code 661 (hourly/quarterly) to be billed with the HCPCS code S5151 for out-of-home respite (facility) for MDCP.
This is incorrect. The unit should be billed as a per diem rate. HHSC will correct this to show revenue code 663 (per diem) effective July 1, as shown below:
Procedure code qualifier
Respite care, not hospice
Respite care, not hospice, with partial vent
Respite care, not hospice, with full vent
Respite care, not hospice, with trach
On Dec. 1, 2022, the HHSC revised the billing matrix for STAR Kids and STAR+PLUS Long-Term Services and Supports (LTSS). At that time, they changed the HCPC code to S5151 and the billing units to per diem.