State-Specific Guidance›New Jersey Visit Types for HHAx

New Jersey Visit Types for HHAx

Overview

In-home services that are required to go to HHAx are as follows per CSOC confirmation on 11/30/22.

Individual Support Services

  • H2015:HM — Individual Supports – Individual Support Technician 1, BA/BS with 1 year relevant experience
  • H2015:HA:HO — Individual Supports - Behavioral Technician, HS Diploma/GED with 3 yrs of relevant experience (Habilitative-In Home)
  • H2016:HA:HO — Individual Supports - Behavioral Technician: Behavioral, BA/BS with 1 year relevant experience (Habilitative-In Home)
  • H2015:HA:HN — Behavioral Technician, HS Diploma/GED with 3 yrs of relevant experience
  • H2016:HA:HN — Behavioral Technician: Behavioral, BA/BS with 1 year relevant experience
  • T2021:HA:HN — II-Habilitation Bachelor's Level/Master's Level - BCaBA
  • T2021:HA:HO — II-Habilitation Master's Level - BCBA
  • H0031:HA — Functional Behavior Assessment (BCaBA)
  • H0031:HA:22 — Functional Behavior Assessment (BCBA)
  • H0031:HA:HP — Functional Behavioral Assessment (BCBA-D)
  • 96158:HA — Functional Behavioral Assessment (BCBA-D)
  • 96159:HA — Behavior Consultative Supports (BCS) - Doctor Level IIH Habilitation (BCBA-D)

Agency Hired Respite

  • S9125:HA:52 — Agency Hired Respite: Hourly

Complete List of Required HHAx Visit Types (as of 4.26.22 requirements)

The Procedure Codes table displays healthcare service codes with their descriptions, units of service, and approved payers, including entries for various Personal Care Assistance services (ranging from 15-minute to per diem units) and MLTSS Home Based Supportive Care, with payers including MCOs, FFS, Aetna, Amerigroup, Horizon, and Wellcare.

This screenshot shows a table of MLTSS (Managed Long-Term Services and Supports) service codes and billing information, with columns for service code, service description, duration/unit, and MCO coverage details. The table lists various supportive care services including in-home respite, individual supports, community-based supports, chore services, therapy services, and nursing care, along with their respective time allocations and MCO (Medicaid managed care organization) coverage notes.

This screenshot shows a table from a healthcare billing or coding reference guide listing various nursing and behavioral health service codes with their descriptions, time allocations, and applicable MCO/FFS designations. The table includes codes such as RN-only private duty nursing, rehabilitation services, behavioral technician roles, and functional behavioral assessments, each with associated time requirements (ranging from 15 minutes to per visit/hour/diem) and coverage notes indicating whether services apply to "All MCOs & FFS" or specific plans like "CSOC."

Healthcare procedure code reference table displaying CPT codes (T1000-96156-EP) with corresponding procedure descriptions, time allocations (15 mins, per diem, or per unit), and applicable MCO/FFS coverage columns in a multi-row, multi-column format.

A table displaying DIH Health Behavior Intervention codes with columns showing the code number (96158-EP through 96171-EP), intervention type and description, session duration (Initial 30 mins or Each additional 15 mins), and applicable provider types (All MCOs & FFS).

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