New Limits for CAP/CH Coming to NCTracks
Effective March 1, 2023 the 1915(c) Home and Community Based Services (HCBS) Community Alternatives Program for Children (CAP/CH) waiver was renewed. The following new limits for procedure codes will be applied on Nov. 19, 2023 impacting claims with a retroactive effective date of March 1, 2023:
Procedure Code |
Effective Dates |
Limits |
T2029 TF |
3/1/2023 – 2/28/2028 |
Limited to $3,000 over waiver cycle. |
T2033 & T2038 |
3/1/2023 – 2/28/2028 |
Limited to $2,500 over waiver cycle. |
S5165 ##, T2029 ##, T2039 ## |
3/1/2023 – 2/28/2028 |
Combined total claim $ limited to $28,000 over waiver cycle. |
A0090, H2010, T1020, T2025, & T5999 |
3/1/2023 – Ongoing |
Combined total claim $ limited to $800 per fiscal year. |
CC23299-R-2711