CFSS Billing for Consultation Services (T1023)

Posted: July 16, 2025

For members enrolled to receive Community First Services and Supports (CFSS), use the following HCPCS codes and modifiers to bill for reimbursement of consultation services.

A member is approved for six sessions of consultation services per their service authorization (SA) letter. 1 session = 1 unit of service.

Billing for Consultation Services

Service Name	HCPCS Procedure Code	Modifier	Authorization Required	Service Unit
CFSS, Consultation, Orientation/Annual Renewal	T1023		Yes	1 unit per session
CFSS, Consultation, Ongoing Support	T1023	TS	Yes	1 unit per session
CFSS, Consultation, QA/Remediation	T1023	U2	Yes	1 unit per session

The consultation services provider may request additional sessions if the member has two sessions remaining.

To request additional sessions for members with:

· A home care authorization, use the CFSS Technical Change Request (DHS-6893K) (eform).

· Waiver or Alternative Care authorization, contact the member’s case manager.

· Managed care authorizations, contact the members care coordinator.

Note: The modifiers TS and U2 will not appear on the service authorization. Providers must refer to the Billing for Consultation Services table to determine if they need to add the modifiers on their CFSS claims.