Medicaid gives SBWCs HCPCS code T1015 to bill for services. This code is submitted to Medicaid and Medicaid MCOs, like Health Option which is Highmark subsidiary. I am not sure I understand why private insurers can not recognize this code. They reimburse HCPCS codes all the time i.,e., for medication reimbursement, and Medicare services. These services are submitted to the insurers using HCPCS codes. If they can recognize the HCPCS code coming from a SBWC, they can suppress the EOB, and pay the all inclusive Medicaid rate.

I have to return to work. Would anyone mind emailing me the agenda? Thank you all so much! Best of luck.Cristineschaar@gmail.com or cschaar001@my.wilmu.edu