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Attention Medically Intensive Children’s Program (MICP) Private Duty Nursing providers:
For dates of service on and after May 11, 2023, the Health Care Authority (HCA) is ending the temporary add-on rate for the Medical Intensive Children’s Program (MICP). This change aligns with the ending of the public health emergency (PHE).
Funding for the MICP temporary add-on rate was provided through an emergency state plan amendment.
The temporary add-on rate is associated with procedure codes T1002 & T1031 when billed with modifier CR and will end with dates of service on and after May 11, 2023.
This does not affect the legislatively mandated rate increase that occurred in January 2023.
The Health Care Authority will revise the Private Duty Nursing Billing Guide to reflect this change.
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