Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street Boston, MA  02111 www. state.ma. us/dma

MASSHEALTH
TRANSMITTAL LETTER GAFC-2
August 2003
TO:       Group Adult Foster Care Providers Participating in MassHealth
FROM:       Douglas S. Brown, Acting Commissioner
RE:       Group Adult Foster Care Manual (Changes to Service Codes and Descriptions)
This letter transmits revisions to the list of MassHealth-covered service codes and descriptions in Subchapter 6 of the Group Adult Foster Care Manual. These revisions are effective for dates of service on and after October 1, 2003.
The Centers for Medicare and Medicaid Services (CMS) have revised the Healthcare Common Procedure Coding System (HCPCS). The Division is replacing MassHealth local codes with new national procedure codes to ensure that the Division’s coding requirements are compliant with HIPAA (the Health Insurance Portability and Accountability Act of 1996, as amended). The attached Subchapter 6 contains the new code.
Billing Guidelines
What follows is a crosswalk table describing the change from the MassHealth local service code to the new national code.

Obsolete	New National	New Code Service	Effective	
GAFC Service	Service Code	Description	Date	
Code				
		Supported housing, per		
X9877	H0043	diem (group adult foster care personal care and administration, per diem)	10/01/2003	
If you have any questions about this transmittal letter, please contact MassHealth Provider Services at 617-628-4141 or 1-800-325-5231.

MassHealth
Transmittal Letter GAFC-2 August 2003 Page 2
NEW MATERIAL
(The pages listed here contain new or revised language.)
Group Adult Foster Care Manual
Pages 6-1 and 6-2
OBSOLETE MATERIAL
(The pages listed here are no longer in effect.)
Group Adult Foster Care Manual
Pages 6-1 and 6-2—transmitted by Transmittal Letter GAFC-1

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series
GROUP ADULT FOSTER CARE MANUAL	SUBCHAPTER NUMBER AND TITLE
6 SERVICE CODES AND DESCRIPTIONS	PAGE
6-1	

	TRANSMITTAL LETTER
GAFC-2	DATE
10/01/03	
601 Service Codes and Descriptions
Service
Code	Service Description
H0043	Supported housing, per diem (group adult foster care personal care and administration,
per diem)

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series
GROUP ADULT FOSTER CARE MANUAL	SUBCHAPTER NUMBER AND TITLE
6 SERVICE CODES AND DESCRIPTIONS	PAGE
6-2	

	TRANSMITTAL LETTER
GAFC-2	DATE
10/01/03	
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