Massachusetts: Configure EVV Aggregation
The Commonwealth of Massachusetts Executive Office of Health and Human Services (MA EOHHS) has certified HHAeXchange to submit Electronic Visit Verification (EVV) data on behalf of providers who render Personal Care Services (PCS) and/or Home Health Care Services (HHCS). Providers are subject to The Commonwealth of Massachusetts Executive Office of Health and Human Services (MA EOHHS) EVV guidelines and must ensure visits are recorded in the aggregator.
Configure EVV Aggregation
Providers must complete the steps outlined below to configure HHAeXchange for EVV Aggregation. Failure to comply may result in data not being sent to the aggregator.
Please refer to the MassHealth Electronic Visit Verification (EVV) website for more information.
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Inform the state aggregator of the decision to use AltEVV.
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Complete the Sandata EVV Provider Self-Registration Form. In the Select EVV Program field, select Massachusetts EOHHS. Complete 1 form per MPI.
Use the following information to complete the form:
AltEVV Vendor Selection and Information
Vendor Information: Vendor: HHAeXchange EVV Vendor Contact Name: HHAX EVV Aggregation Support EVV Vendor Contact Email: EASTeam@hhaexchange.com EVV Vendor Contact Phone Number: 855-400-4429 EVV Product Name: HHAeXchange -
Complete the Agency-based Electronic Visit Verification (EVV) System and Data Aggregator User Request Form (URF), and email to VirtualGatewayHelpDeskFaxes@massmail.state.ma.us.
Please refer to the MassHealth User Request Forms website for more information.
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Complete the following steps in the HHAeXchange system:
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If the contract already exists in the system, skip this step.
Go to Admin > Contract Setup > New Contract to create a contract. See Admin Contract Setup Overview for steps on how to add a contract.
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Providers are identified by the first 9-digits of their Provider ID and Service Location (PIDSL) in the State aggregator. Providers can be configured at the Contract or Office level.
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If your agency will be using a unique PIDSL per payer/contract, then complete the Contract Configuration step (a) below.
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If your agency will be using a unique PIDSL per office, and all respective contracts in that office will use the same PIDSL, then complete the Office Configuration step (b) below.
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Enter the appropriate PIDSL for each contract or office in the Agency ID (33b) field. Refer to the following topics for steps on how to add the Provider Identifiers to a Contract or Office:
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Contract Configuration: General Tab for Admin Contract Setup
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Office Configuration: Set Up a New Office > General
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Select the appropriate Contract Type.
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See General Tab for Admin Contract Setup for steps on how to add the Contract Type to a Contract.
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Refer to the Massachusetts EVV Contract Types section below view a full list of Contract Payers.
If a Contract Type is not found in the HHAX system, go to Admin > Reference Table Management > Contract Type.
See Reference Table Management for steps on how to add a Contract Type.
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Go to Admin > Reference Table Management > Contract Service Code to enter a valid Service Code in the HCPCS Code field. Repeat this step for each contract.
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Refer to the Massachusetts Contract Service Codes section below for a full list of valid/in-scope Service Codes.
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See Reference Table Management for steps on how to add a Contract Service Code and HCPCS Code.
If a HCPCS Code is associated to an incorrect Contract Type, the EVV visit data associated to the HCPCS Code is not sent to the aggregator. Only the confirmed visits associated to the below valid/in-scope Service Codes and the correct Contract Type are sent to the aggregator.
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Navigate to Admin > Reference Table Management > Visit Edit Reason to configure the valid Reason Codes.
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See Reference Table Management for steps on how to add Reason Codes.
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Refer to the Reason Code Listing table below for a full list of Reason Codes.
Reason Code Listing Reason Code Description Note Required? 100 Employee did not check in/out No 110 Mobile device not available No 120 Emergency No 130 Member considerations No 140 Technology Issue / EVV System Unavailable No 150 Member ID was not available or incorrect No 160 Employee ID was not available or incorrect No 170 Service was incorrect No 180 Location was incorrect No 190 Services provided without Authorization No 200 Group Visit No 210 Overnight Visit No 220 Other Yes A default value of Other is exported with the visit when the Reason Code differs from the table above. Excessive use of the Reason Other can result in potential compliance issues and/or audit.
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Review all Member Profiles and ensure the Member details are entered correctly.
Members must be identified by First Name, Last Name, Date of Birth, Phone Number, Address, and either Medicaid ID or the Executive Office of Elder Affairs (EOEA) ID. Member Medicaid IDs must be entered in the Member Profile > Demographics section > Medicaid ID field. Medicaid ID must be a 12-digit numeric value.
The aggregator recommends providers use Medicaid ID if available. The aggregation interface prioritizes the member Medicaid ID value if present. If the Medicaid ID is blank, the aggregation interface will export the member EOEA ID. Member EOEA IDs must be entered in the Patient > Contracts > Alt Patient ID field. EOEA ID must be a 10-12 digit numeric value.
Member names can consist of alpha letters, hyphens, periods, and apostrophes. All other special characters cause the record to reject.
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Add Program Codes to all Patient’s Authorizations (Auth) in the Patient Profile > Auth/Orders > ProgramCode field.
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Refer to the the Authorization Program Name Configuration table below for a full list of Program Codes.
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See Authorizations for steps on how to add/edit a Patient's Authorization.
Authorization Program Name Configuration ProgramName to Select in Auth Program Description ABI-MFP Acquired Brain Injury and Moving Forward Plan Choices Choices Waiver ECOP Enhanced Community Options Program (ECOP) / Non-Waiver GAFC Group Adult Foster Care HCBNW Home Care Basic / Non-Waiver HCBW Home Care Basic / Waiver HCPB Home care / Percent Based HH Home Health PCA Personal Care Attendant Program - Self-Directed Only SCBMC SCO Wellsense ASAP SCCCA SCO Commonwealth Care Alliance ASAP SCFAL SCO Fallon Navicare ASAP SCSWH SCO Senior Whole Health ASAP SCTUF SCO Tufts ASAP SCUNI SCO United ASAP SDABI Acquired Brain Injury - Self-Directed Only SDMFP Moving Forward Plan - Self-Directed Only If ProgramCode is not visible on the Patient’s auth, open a Support Case to have it enabled. If you already have an existing Support Case opened, request to enable is via the existing case.
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Review all Caregiver profiles to ensure that the Caregiver details are entered correctly.
Caregivers must be identified by First Name and Last Name.
Caregiver names can consist of alpha letters, hyphens, periods, and apostrophes. All other special characters cause the record to reject.
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Open a Support Case to set up the MA EVV aggregation interface. If you already have an existing Support Case opened, let your agent know via the existing case.
Once confirmation is received, proceed to the Massachusetts State Aggregation Report topic to review exported EVV data.
Massachusetts EVV Contract Types
| PayerID | Payer Name | ContractType to Configure in HHAeXchange |
|---|---|---|
| MAAAS | AgeSpan | MAAAS |
| MAANC | Aging Services of North Central Massachusetts | MAANC |
| MABHP | Be Healthy Partnership Plan | MABHP |
| MABFH | Berkshire Fallon Health Collaborative | MABFH |
| MAABS | Boston Senior Home Care | MAABS |
| MAABE | Bristol Elder Services, Inc. | MAABE |
| MAACB | Central Boston Elder Services | MAACB |
| MAACE | Coastline Elderly Services, Inc. | MAACE |
| MACCA | Commonwealth Care Alliance One Care | MACCA |
| MASCC | Commonwealth Care Alliance SCO | MASCC |
| MABNH | East Boston Neighborhood Health WellSense Alliance | MABNH |
| MAAEB | Elder Services of Berkshire County, Inc. | MAAEB |
| MAAEC | Elder Services of Cape Cod and the Islands, Inc. | MAAEC |
| MAAEW | Elder Services of Worcester Area, Inc. | MAAEW |
| MAAET | ETHOS | MAAET |
| MAELD | Executive Office of Elder Affairs (EOEA) | MAELD |
| MAFAC | Fallon 365 Care | MAFAC |
| MAFAH | Fallon Health – Atrius Health Care Collaborative | MAFAH |
| MASFA | Fallon Navicare SCO | MASFA |
| MAAGL | Greater Lynn Senior Services, Inc. | MAAGL |
| MAAGS | Greater Springfield Senior Services, Inc. | MAAGS |
| MAAHE | HESSCO Elder Services | MAAHE |
| MAAHV | Highland Valley Elder Services, Inc. | MAAHV |
| MAALP | LifePath, Inc. | MAALP |
| MAWGB | Mass General Brigham Health Plan with Mass General Brigham ACO | MAWGB |
| MAHEA | MassHealth | MAHEA |
| MAAMS | Minuteman Senior Services | MAAMS |
| MAAMV | Mystic Valley Elder Services, Inc. | MAAMV |
| MAAOC | Old Colony Elder Services, Inc. | MAAOC |
| MASW | Senior Whole Health SCO | MASW |
| MAASE | SeniorCare, Inc. | MAASE |
| MAASC | Somerville/Cambridge Elder Services, Inc. | MAASC |
| MAASS | South Shore Elder Services, Inc. | MAASS |
| MAASP | Springwell, Inc. | MAASP |
| MSSTV | Tri-Valley, Inc. | MSSTV |
| MATHU | Tufts Health One Care | MATHU |
| MASTF | Tufts Health Plan SCO | MASTF |
| MATFT | Tufts Health Together | MATFT |
| MATCH | Tufts Health Together with Cambridge Health Alliance (CHA) | MATCH |
| MATUM | Tufts Health Together with UMass Memorial Health | MATUM |
| MAUCT | UnitedHealthcare Connected for One Care | MAUCT |
| MASTU | UnitedHealthcare SCO | MASTU |
| MAWBI | WellSense Beth Israel Lahey Health (BILH) Performance Network ACO | MAWBI |
| MAWBC | WellSense Boston Children’s ACO | MAWBC |
| MAWCR | WellSense Care Alliance | MAWCR |
| MAWCA | WellSense Community Alliance | MAWCA |
| MAWEM | WellSense Essential MCO | MAWEM |
| MAWMA | WellSense Mercy Alliance | MAWMA |
| MASHN | Wellsense SCO | MASHN |
| MAWSA | WellSense Signature Alliance | MAWSA |
| MAWSC | WellSense Southcoast Alliance | MAWSC |
| MAAWM | WestMass Elder Care, Inc. | MAAWM |
MA EVV Contract Service Codes
| Service Code Configuration | |||
|---|---|---|---|
| PayerID | PayerName | HCPCS Code and Modifiers | Service Description |
| MAAAS | AgeSpan | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAANC | Aging Services of North Central Massachusetts | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MABHP | Be Healthy Partnership Plan | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MABFH | Berkshire Fallon Health Collaborative | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAABS | Boston Senior Home Care | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAABE | Bristol Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAACB | Central Boston Elder Services | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAACE | Coastline Elderly Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MACCA | Commonwealth Care Alliance One Care | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MASCC | Commonwealth Care Alliance SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MABNH | East Boston Neighborhood Health WellSense Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAAEB | Elder Services of Berkshire County, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAEC | Elder Services of Cape Cod and the Islands, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAEW | Elder Services of Worcester Area, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAET | ETHOS | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAELD | Executive Office of Elder Affairs (EOEA) | G0156 | Services of HH Aide in Home Health Setting |
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAFAC | Fallon 365 Care | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAFAH | Fallon Health – Atrius Health Care Collaborative | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MASFA | Fallon Navicare SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAAGL | Greater Lynn Senior Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAGS | Greater Springfield Senior Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAHE | HESSCO Elder Services | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAHV | Highland Valley Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAALP | LifePath, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAWGB | Mass General Brigham Health Plan with Mass General Brigham ACO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAHEA | MassHealth | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S9128 | ABI-MFP - Speech Therapy | ||
| S9129 | ABI-MFP - Occupational Therapy | ||
| S9131 | ABI-MFP - Physical Therapy | ||
| T1004 | ABI-MFP - Supportive Home Care Aide, 15 min. | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAAMS | Minuteman Senior Services | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAMV | Mystic Valley Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAAOC | Old Colony Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MASW | Senior Whole Health SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAASE | SeniorCare, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAASC | Somerville/Cambridge Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAASS | South Shore Elder Services, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MAASP | Springwell, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MSSTV | Tri-Valley, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| MATHU | Tufts Health One Care | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MASTF | Tufts Health Plan SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MATFT | Tufts Health Together | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MATCH | Tufts Health Together with Cambridge Health Alliance (CHA) | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MATUM | Tufts Health Together with UMass Memorial Health | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAUCT | UnitedHealthcare Connected for One Care | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MASTU | UnitedHealthcare SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWBI | WellSense Beth Israel Lahey Health (BILH) Performance Network ACO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWBC | WellSense Boston Children’s ACO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWCR | WellSense Care Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWCA | WellSense Community Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWEM | WellSense Essential MCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWMA | WellSense Mercy Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MASHN | Wellsense SCO | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0299:UB | Complex Care Training and Oversight by an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWSA | WellSense Signature Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAWSC | WellSense Southcoast Alliance | 99509 | Emergency PCA by Home Health Agency |
| G0151 | Physical Therapist in Home Health Setting | ||
| G0152 | Occupational Therapist in Home Health Setting | ||
| G0153 | Speech Language Pathologist in Home Health Setting | ||
| G0156 | Services of HH Aide in Home Health Setting | ||
| G0156:UD | HH - HH Aide ADL Only Support in Home Health Setting | ||
| G0299 | Direct Skilled Nursing Services of an RN | ||
| G0299:GT | Telehealth-Direct Skilled Nursing Services of an RN | ||
| G0300 | Direct Skilled Nursing Services of an LPN | ||
| G0300:GT | Telehealth-Direct Skilled Nursing Services of an LPN | ||
| G0493 | HH - RN Observation and Assessment Visit HH ADL Only | ||
| H0043 | GAFC - Per Diem Visit | ||
| T1502 | Admin of Oral, Intramuscular, Subcutaneous Med | ||
| T1502:GT | Telehealth-Admin of Oral Med | ||
| T1503 | Administration of Medication Other than Oral and/or Injectable | ||
| MAAWM | WestMass Elder Care, Inc. | G0299:UB | Complex Care Training and Oversight by an RN |
| G0300:UB | Complex Care Training and Oversight by an LPN | ||
| S5125:UB | Supportive Home Care Aide, 15 min. | ||
| S5130:UB | Homemaker, 15 min. | ||
| S5135:UB | Companion, 15 min. | ||
| S5135:UB:U1 | TeleHealth - Companion, 15 min. | ||
| S9129:UB | Home Safety/Independence Evaluation by an OT | ||
| T1019 | Personal Care, 15 Min. | ||