New Place of Service (POS) Code 27 for Street Medicine
| Date: | February 21, 2024 |
| From: | Health Plan |
| To: | Health Plan of San Joaquin/Mountain Valley Health Plan (“Health Plan”) Provider Network |
| Type: | Regulatory |
| Subject: | New Place of Service (POS) Code 27 for Street Medicine |
| Business: | Medi-Cal Managed Care |
The Department of Health Care Services (DHCS) recently announced that effective for dates of services on or after October 1, 2023, Medi-Cal providers may use POS code 27 for street medicine in addition to the previously announced POS codes for street medicine: 04 (homeless shelter), 15 (mobile unit), and 16 (temporary lodging). Street medicine refers to a set of health and social services developed specifically to address the unique needs and circumstances of individuals experiencing homelessness delivered directly to
them in their own environment.
The Centers for Medicare and Medicaid Services (CMS) recently designated POS code 27 for “Outreach Site/Street,” which CMS defined as “a nonpermanent location on the street or found environment, not described by any other POS code, where health professionals provide preventive, screening, diagnostic and/or treatment services to unsheltered homeless individuals.”
Health Plan is currently making necessary system updates to accommodate POS code 27. Any claims for street medicine services provided on or after October 1, 2023, that are denied for using POS code 27 do not need to be resubmitted and will be reprocessed after system changes are updated.
For additional information about street medicine, please refer to the following:
- All Plan Letter (APL) 22-023:
https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2022/APL22-023.pdf - DHCS publication 1/16/24: https://mcweb.apps.prd.cammis.medical.ca.gov/news/32623
If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526). You may also visit https://www.hpsj.com/alerts/ for online access to the documents shared. The most recent information about Health Plan and our services is always available on our website WWW.HPSJ-MVHP.ORG