CareCentrix®-assigned HIPPS codes for home health services for Medicare Plus BlueSM members who receive services in Michigan
As we communicated previously, you must include the health insurance prospective payment system, or HIPPS, code CareCentrix assigned when submitting claims for home health care services for Medicare Plus Blue members who receive services in Michigan.
Preferred methods to obtain a CareCentrix-assigned HIPPS code
These are the preferred methods:
Refer to your Outcome and Assessment Information Set, or OASIS, assessment to complete the HIPPS questionnaire.
If you submitted an OASIS and haven't received a HIPPS code, call CareCentrix at 1-833-409-1280 to request the code prior to submitting the claim or check the Authorization Status screen in the HomeBridge portal.
CareCentrix monitors authorizations for missing HIPPS codes
If you don't obtain the HIPPS code using one of the preferred methods by day 25 of the episode of care, CareCentrix will make two attempts to call you.
In both cases, you'll be able to find the CareCentrix-assigned HIPPS code on the Authorization Status screen in the HomeBridge portal.
For more information about the CareCentrix home health care program, see the document titled Home health care: Frequently asked questions for providers.
As a reminder, CareCentrix manages prior authorizations for home health care services for Medicare Plus Blue and BCN Advantage members as follows:
Posted: July 2021
Line of business: Blue Cross Blue Shield of Michigan