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Elizabeth M. Whitehorn, Director

Provider Notice issued 10/13/2023

 

Date: October 13, 2023
​To: All Medical Assistance Program Providers  
​Re: Public Health Registered Nurse Services During the Postpartum Period per Public Act 102-0665 

This notice verifies the Department of Healthcare and Family Services’ (HFS) coverage of public health registered nurse services. This coverage is required under Public Act 102-0665.

Public health registered nurses employed by local health departments are already allowed to provide care in a patient’s home during the postpartum period. The local health department bills for the services provided by the public health registered nurse.

As a reminder, the following home services Evaluation and Management (E/M) CPT procedure codes are open for local health departments to bill and found on the Practitioner Fee Schedule:

Home or Residence E/M Services, New Patient

99341

Straightforward medical decision making (MDM) or at least 15 minutes total time

99342

Low level MDM or at least 30 minutes total time

99344

Moderate level MDM or at least 60 minutes total time

99345

High level MDM or at least 75 minutes total time

 

Home or Residence E/M Services, Established Patient

99347

Straightforward MDM or at least 20 minutes total time

99348

Low level MDM or at least 30 minutes total time

99349

Moderate level MDM or at least 40 minutes total time

99350

High level MDM or at least 60 minutes total time

 

Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565.

 

Kelly Cunningham, Administrator

Division of Medical Programs