Back to Insights and Updates for ProvidersMarch 2024

Billing update for Specialized Community Support Program Services

Tufts Health One Care  |  Tufts Health Plan SCO  |  Tufts Health Together

Per guidance issued by MassHealth on Jan. 5, 2024, if you provide Specialized Community Support Program (CSP) Services for Homeless Individuals (CSP-HI) to eligible members receiving CSP-HI services while residing in a medical respite program, you can begin billing for these services as early as the first day that the member is admitted to the medical respite program.

CSP-HI provides assistance to members before, during, and after transitioning into housing and is available to homeless members who frequently utilize MassHealth’s acute care services. Notification to Tufts Health Plan is required for CSP-HI services and should be provided by completing this form and returning it by fax to the appropriate number listed at the top of the form.

As a reminder, when billing for CSP-HI services, please be sure to submit claims using HCPCS code H2016 (comprehensive community support services, per diem) with the modifier “HK” (specialized mental health programs for high-risk populations). In addition, the appropriate secondary diagnosis code must be included to reflect the member’s housing situation:

  • 00 – Homelessness, unspecified
  • 01 – Sheltered homelessness
  • 02 – Unsheltered homelessness

Point32Health’s (CSP-HI) performance specifications have been updated to reflect MassHealth’s billing guidance for members who are residing in medical respite programs. Information on additional MassHealth Community Support Program (CSP) Services — including those for eligible members experiencing housing instability or justice involvement — can be found at:

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