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UPDATED: STAR Kids LTSS Billing Matrix

Date: 11/01/23

As a reminder, on December 1, 2022, the Texas Health Human Services Commission (HHSC) implemented the new Long-Term Services and Supports (LTSS) Billing Matrix and Crosswalk for the STAR Kids product. The matrix includes a table that provides the billing codes and modifiers for state plan services used in STAR Kids and the Medically Dependent Children Program (MDCP). Please Note:

  • All providers are expected to utilize and follow the matrix as described, per service.
  • As detailed in the matrix, HHSC has indicated that specific state plan services for eligible MDCP members must include the U6 modifier in its respective location when submitting claims for reimbursement.
  • Superior HealthPlan would like to remind providers to ensure claims are submitted in accordance to the matrix.
  • To further assist providers with identifying members who are part of  MDCP, Superior has included an MDCP indicator (MDCP=U6) within the authorization letters.

For questions or additional information, contact Superior’s LTSS Account Management team at 1-866-529-0294 or via email at AM.LTSS@SuperiorHealthPlan.com.