Get September/October 2005 Texas Medicaid Bulletin, No. 190

Hospital Discharge Trips Trip ModifiersNational ModifierForwardHealth Modifier Description for Specialized Medical Vehicle ServicesU1First or only tripU2Second tripU3Third trip3 more rows

Texas Anesthesia Modifiers This is the definition for Anesthesia use of the U1 modifier: Modifiers U1 (indicating one Medicaid claim) and U2 (indicating two Medicaid claims, one by the supervising anesthesiologist and one by the CRNA) are state-defined modifiers that must be billed by an anesthesiologist or CRNA.

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

U1 = Medicaid level of care 1, as defined by each state.

U2. Used to denote services rendered by Community Health workers. U3. Used to denote services rendered by Asthma Preventive Service providers.

Call toll-free at 800-252-8263, 2-1-1 or 877-541-7905. Choose English or Spanish. Choose option 2. The person you speak with can help you find out if you have Medicaid or not.

A claim that is not submitted within 365 days of the date of service will not be considered for payment. If a client is not yet eligible for Medicaid, providers must submit the claim using either 999999999 or 000000000 as the recipient identification number.

Modifier UB or U5 is required on all claims for therapy treatment procedure codes to designate whether treatment was provided by a licensed therapist or a licensed assistant.