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