One outcome of the August 2014 Colorado Summit on Pediatric Home Asthma Interventions was the idea to promote awareness of existing codes that are being used to bill Medicaid for delivery of asthma-related services.
The billing code examples provided in the Medicaid Reimbursement Billing Codes for Asthma Care Services by State guide represent what is reimbursed by Medicaid within various states. This applies both to the type of provider delivering the service as well as the service itself (home-based asthma education, home assessments, and products that support environmental management of asthma triggers). Review the list to see what is covered across different states, and then use this information to engage stakeholders in your state to advocate for expanded Medicaid and private payer reimbursement.
With many states exploring the possibility of sustainable financing, this guide will be updated as more programs secure reimbursement. If you know of a program receiving reimbursement for in-home asthma care services that is not currently listed, please contact us at networksupport@asthmacommunitynetwork.org.
Download Medicaid Reimbursement Billing Codes for Asthma Care Services by State.