Alliance Brand A

Correction of Covid Rates Extension

​This is a correction to the June 14 posting of the COVID Rate extension. ​IIH- H2022 was mistakenly put on this list of codes. Please note that the correct code is H2022 U3 HE​. We apologize for any confusion.​ See below for updated list​. Click here for a downloadable file

Alliance has extended the temporary Medicaid COVID rates indicated below through October 31, 2021.

Rates are currently adjusted within our Alliance Claims System (ACS). Providers should continue to submit claims as usual. Should you have any questions regarding these rates, please feel free to contact your Provider Network Specialist.

Enhanced Medicaid COVID codes
B3DI Residential
T2033 U4 Supported Living Level I
T2033 HI U4 Supported Living Level II
T2033 TF U4 Supported Living Level III
H2016 U4 Residential Supports Level 1
H2016 U2 U4 Residential Supports Level 1 – AFL
H2016 HI U4 Residential Supports Level 4
H2016 HI U2 U4 Residential Supports Level 4 – AFL
T2014 U4 Residential Supports Level 2
T2014 U2 U4 Residential Supports Level 2 – AFL
T2020 U4 Residential Supports Level 3
T2020 U2 U4 Residential Supports Level 3 – AFL
Innovations Residential
H2016 Residential Supports Level 1
H2016 U2 Residential Supports Level 1 – AFL
H2016 HI Residential Supports Level 4
H2016 HI U2 Residential Supports Level 4 – AFL
T2014 Residential Supports Level 2
T2014 U2 Residential Supports Level 2 – AFL
T2020 Residential Supports Level 3
T2020 U2 Residential Supports Level 3 – AFL
T2033 Supported Living Level 1
T2033 HI Supported Living Level 2
T2033 TF Supported Living Level 3
TBI Residential
H2016 22 Residential Supports 1
H2016 U2 22 Residential Supports Level 1 – AFL
T2014 22 Residential Supports 2
T2014 U2 22 Residential Supports Level 2 – AFL
T2020 22 Residential Supports 3
T2020 U2 22 Residential Supports Level 3 – AFL
PSR
H2017 U5 Psychosocial Rehabilitation During Disaster
CST
H2015 HT Community Support Team
H2015 HTHO CST Team Lead
H2015 HTHF CST LCAS, other SA
H2015 HTHN CST QP/AP
H2015 HTU1 CST NC Peer Support Specialist
H2015 HTHM CST Paraprofessional
H2015 HTHFCR CST LCAS, other SA
H2015 HTU1CR CST NC Peer Support Specialist
H2015 HTHMCR CST Paraprofessional
H2015 HTHNCR CST QP/AP
H2015 HTHOCR CST Team Lead
H2015 HTHFGTCR CST LCAS, other SA
H2015 HTU1GTCR CST NC Peer Support Specialist
H2015 HTHMGTCR CST Paraprofessional
H2015 HTHNGTCR CST QP/AP
H2015 HTHOGTCR CST Team Lead
ACTT
H0040 Assertive Community Treatment Team/IDDT
H0040 CR Assertive Community Treatment Team/IDDT
H0040 GTCR Assertive Community Treatment Team/IDDT
Innovations
T2013 TF Community Living and Supports – Individual
T2021 22 Day Supports – Individual
T2021 22 HQ Day Supports – Group
S5150 Respite Care – Community Individual
TBI
S5150 Respite Care – Community Individual
T2013 TF U5 Life Skills Training – Individual
T2021 22 Day Supports – Individual
B3DI
H0045 U4 Respite B3 Individual Child
H0045 HB U4 Respite B3 Individual Adult
T2013 TF U4 Community Living and Supports – Individual
S5150 U4 Respite Care – Individual
T2021 22 U4 Day Supports Individual – Hourly
Outpatient
90837 Psychotherapy – 53+ Minutes
90837 CR Psychotherapy – 53+ Minutes
90837 GT Psychotherapy – 53+ Minutes
90837 GTCR Psychotherapy – 53+ Minutes
99213 E & M Detailed, Estab Patient approx. 15 minutes
99213 GT E & M Detailed, Estab Patient approx. 15 minutes
99213 GTCR E & M Detailed, Estab Patient approx. 15 minutes
99214 E & M Moderate, Estab Patient approx. 25 minutes
99214 GT E & M Moderate, Estab Patient approx. 25 minutes
99214 GTCR E & M Moderate, Estab Patient approx. 25 minutes
PRTF
RC911 PRTF
ICF
RC100 ICF
CHILD RESIDENTIAL
H0036 U3 Z4
S5145  22 HA IAFT
S5145 22 Z3 Rapid Response
S5145
S5145 22 Z2 IDD/MH TFC
H0046
H2020
H2020 CR
H0019 HK
H0019 HK CR
H0019 HQ
H0019 HQ CR
H0019 TJ
H0019 TJ CR
ABA
97153
97153 CR CR
97153 GT CR GT CR
FCT
H2022 U3 HE
MST
H2033 U3 HE