Non-Homecare EDI Codes
The EDI Codes topic defines specific codes used in the import interface process.
Refer to Homecare EDI Import for import details and interface instructions.
If additional assistance is needed, submit a ticket to 3rd Party Integration Support Desk. Cases are escalated to the EDI Production Support queue.
MCO/Payer ID
The Payer ID is the unique identifier for each MCO, sent as a required field in the EDI Import file. The following table provides the MCO/Payer ID Code for each Payer.
| Code | MCO/Payer |
|---|---|
| 14475 | UPMC |
| 16999 | PHW |
| 17470 | AH |
| 20154 | Keystone |
Procedure Codes
The following table provides Procedure Codes (Service Codes) and descriptions.
| Service Code | Description | HHAeXchange Service Type |
|---|---|---|
| S5102 | Adult Daily Living (ADL) | Community Socialization |
| S5102U3 | Adult Daily Living (ADL) Enhanced - Half Day | Community Socialization |
| S5102U4 | Adult Daily Living (ADL) Enhanced | Community Socialization |
| S5102U5 | Adult Daily Living (ADL) Half Day | Community Socialization |
| 97532SE | Cognitive Rehabilitation | Counseling |
| H2019 | Behavior Therapy | Counseling |
| S9470AEU4 | Nutritional Counseling | Counseling |
| W0093 | Counseling Services | Counseling |
| W1728 | Employment Skills Development (1:1) | Employment |
| W1729 | Employment Skills Development (1:2 or 1:3) | Employment |
| W1732 | Career Assessment | Employment |
| W1733U4 | Job Coaching 1:1 Intensive | Employment |
| W1733U5 | Job Coaching 1:1 Follow Along | Employment |
| W1734U4 | Job Coaching 1:2 to 1:4 Intensive | Employment |
| W1734U5 | Job Coaching 1:2 to 1:4 Follow Along | Employment |
| W1735 | Job Finding | Employment |
| W1740 | Benefits Counseling | Employment |
| W1741 | Employment Skills Development (1:15) | Employment |
| S5121UD | Pest Eradication | Environmental Modification |
| S518532 | Medication Dispensing and Monitoring | Equipment and Monitoring |
| T2025GT | Health Status Measuring and Monitoring Remote | Equipment and Monitoring |
| T2028GT | Specialized Supplies for Remote Monitoring | Equipment and Monitoring |
| T2029GT | Specialized Supplies DME for Remote Monitoring | Equipment and Monitoring |
| W0137 | Specialized Medical Equipment and Supplies | Equipment and Monitoring |
| W0138 | Assistive Technology | Equipment and Monitoring |
| W1894 | PERS Installation | Equipment and Monitoring |
| W1895 | PERS Monthly Maintenance | Equipment and Monitoring |
| W2024 | Equipment Installation and Removal | Equipment and Monitoring |
| W2025 | Equipment Installation and Removal with Training | Equipment and Monitoring |
| W9006 | Activity and Sensor Monitoring | Equipment and Monitoring |
| W0100 | Residential Habilitation 1-3 | Habilitation |
| W0101U4 | 1-3 SUPP 1:1 | Habilitation |
| W0101U5 | 1-3 SUPP 2:1 | Habilitation |
| W0102 | Residential Habilitation 4-8 | Habilitation |
| W0103U4 | 4-8 SUPP 1:1 | Habilitation |
| W0103U5 | 4-8 SUPP 1:2 | Habilitation |
| W0104 | Structured Day Habilitation Group | Habilitation |
| W0105U4 | Structured Day Habilitation 1:1 | Habilitation |
| W0105U5 | Structured Day Habilitation 2:1 | Habilitation |
| W1759 | Home Delivered Meals - Hot Entrée | Meals |
| W1760 | Home Delivered Meals - Frozen Entrée | Meals |
| W1761 | Home Delivered Meals - Sandwich | Meals |
| W1762 | Home Delivered Meals - Emergency Pack | Meals |
| W1764 | Home Delivered Meals - Special Meal | Meals |
| W0139 | Vehicle Modifications | Modifications |
| W0140 | Home Adaptations < $6000 | Modifications |
| W0141 | Home Adaptations > $6000 | Modifications |
| W1011U1 | LTSS (Service Coordination) | Service Coordination |
| W7332 | Community Transition Services (Household Suppl) | Service Coordination |
| W7333 | Community Transition Services (Moving Expenses) | Service Coordination |
| W7334 | Community Transition Services (Security Deposit) | Service Coordination |
| W7335 | Community Transition Services (Set-up Fees) | Service Coordination |
| W7336 | Community Transition Services (Health Safety) | Service Coordination |
| W6110 | Non-medical Transportation | Transportation |