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Medicare Crossover Claim Adjustments for Behavioral Health Services

July 8, 2024

MassHealth has adjusted professional Medicare crossover claims billed with procedure codes 90791, 90832, 90834, 90837, 90847, 90853, 90882 and 90887 for dates of service starting January 2023 to present as a result of procedure code updates. The adjusted claims also include some crossover claims that did not price correctly when the rendering provider is a licensed independent clinical social worker (LICSW). The impacted Medicare crossover claims will appear on this and subsequent remittance advices.

If you have questions regarding this message, please contact MassHealth at or (800) 841-2900.