Date
MO HealthNet Division (MHD) was recently made aware of ABA claim denials due to incorrect limit restrictions for CPT codes 97153 and 97155. MHD has implemented a system fix and as of October 28, 2022, claims are paying correctly. Providers may need to review claim denials based on limit restrictions for the CPT codes mentioned and rebill the claims for reimbursement.
Providers may contact MHD Education & Training at MHD.Education@dss.mo.gov with billing questions.