RCPA - Rehabilitation and Community Providers Association


OMR Issues Procedures Codes for HIPAA Transactions
August 26, 2003

The Office of Mental Retardation (OMR) issued a bulletin, Procedures Codes for Electronic Transfers of Health Care Services, that will be effective October 16. This bulletin was issued for county MH/MR programs that perform electronic payment transactions for waiver and base health care services. These counties must use the new procedure codes.

Providers will need to contact the counties with whom they contract to determine how this bulletin affects their billing processes. There does not seem to be a single approach to this issue to share with members to make it simpler.

The bulletin contains the new codes for Nursing Service, Nutrition Therapy, Occupational Therapy, Physical Therapy, Speech and Language Service, Other Procedures (only one), and Behavior Therapy. Non-health care codes are not part of this bulletin. The state is leaning towards developing Pennsylvania specific non-health care codes for use later in 2004.

The procedures code bulletin is available from the link above. A hard copy may be obtained by contacting Lynn Keltz or Abbie Hitz. Questions about the bulletin should be directed to Mel Knowlton, Bureau of Quality Improvement and Policy, (717-783-5764 or mknowlton@state.pa.us).

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