The Centers for Medicare & Medicaid Services (CMS) have published the HCPCS codes for July 2024. MassHealth has revised the rate for procedure code E2298 and its applicable modifiers to reflect the CMS revised rate, effective for date of service April 1, 2024.
MassHealth has updated its system to reflect this change. All impacted claims for dates of service on or after April 1, 2024, have been adjusted and will appear on this or a subsequent remittance advice.
Please reference Administrative Bulletin 24-28 at https://www.mass.gov/lists/20240eohhs-administrative-bulletins for more information.
Additionally, please refer to the MassHealth Durable Medical Equipment and Oxygen & Respiratory Payment and Coverage Guideline Tool at www.mass.gov/service-details/masshealth-payment-and-coverage-guideline-tools for further instructions regarding coverage, service limits, prior authorization requirements, applicable modifiers, and a full description of procedure codes.
If you have questions regarding this message, please contact the LTSS Provider Service Center at support@masshealthltss.com or (844) 368-5184.