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MHCP covers a variety of services delivered at home. Refer to the following:
- If you are an MHCP-enrolled provider of services eligible to be provided at home, you can bill for visits provided at place of service 12 even if you have not done so previously.
- MHCP-enrolled providers use place of service 12 when billing for a home visit. Place of service 12 is inclusive of any location, other than a hospital or other facility, where the patient receives care in a private residence.
- Providers do not need to document or provide information on the patient’s home address when billing for home visits.
- All the required components of the billing code or service must be provided to bill. Not all visits are appropriate in place of service 12.
Special note about Evaluation and Management (E&M) services
E&M services can be provided for members at home for any reason. Home visit E&M codes are covered for new and existing patients.
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