New Required Modifier for Habilitative and Rehabilitative Services
Ambetter is requiring modifier ‘96’ is to be used for any habilitative service or procedure that could be considered either habilitative or rehabilitative. Rehabilitative services should continue to use modifier 'GN' for speech therapy, 'GO' for occupational therapy, and/or 'GP' for physical therapy.
The new modifiers will be required starting May 1, 2019 but our systems can accept them now.
For more information, click here (PDF)