If you are a NY agency that provides PCA and/or CPAS services to 2 or more members in the same household, then this blog post is for you!
What are shared services?
Services that are provided for 1 or more member that reside in the same residence and receive PCS/CDPAP services at the same time. Examples may include but not limited to:
- Meal preparation
- Laundry
- Grocery Shopping
For DOS 4/6/26 and thereafter Healthfirst may designate a portion of authorized hours as “shared services”.
The total hours authorized will not change- however a portion of the total hours will be allocated as “shared services”.
Proper billing for shared services:
- PCA services code with a modifier U2
- CDPAS services code with modifier U7
- CDPAs should follow PPLs billing and coding guidelines
- Providers should not bill 1 hour of shared services for 1 member and then another member at a different time
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