MassHealth was made aware that certain continuous skilled nursing (CSN) procedure codes when billed with modifier U6, for CSN training time, were paying at a lower and incorrect rate. MassHealth has since corrected its claims system, so all CSN procedure codes billed with modifier U6 pay correct rates as established in 101 CMR 361.00.
MassHealth has also reprocessed all submitted claims to correct the training time rate. Providers should expect to see these adjustments on or after January 10, 2025.
For more information regarding CSN training time units, please see CSN Agency Bulletin 19 at https://tinyurl.com/e7z2hjjz. As a reminder, MassHealth pays for training time units delivered during the week, Monday through Friday at the standard weekday rate, and will not pay night rates during the week for training time units.
If you have question, please contact the LTSS Provider Service Center at (844) 368-5184 or support@masshealthltss.com.