Appendix III, LTSS Billing Matrix and Crosswalk

Effective July 7, 2023

The LTSS Billing Matrix and Crosswalk is a table that provides the billing codes and modifiers for state plan services used in STAR Kids as well as services specific to the Medically Dependent Children Program (MDCP).

MCOs and providers must use the link below for services provided on or after July 1, 2023.

Appendix III, LTSS Billing Matrix and Crosswalk (Excel)

Appears In

  • STAR Kids Handbook
  • STAR Kids Program Support Unit Operational Procedures Handbook