T2022 HCPCS Code: Case management (Units, EVV, Rates, Denials)
T2022: Case management, per month. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
T2022 is “Case management, per month.” It is billed per month and covers waiver case management: assessing needs, building and updating the service plan, and monitoring services. Medicare does not pay it. EVV does not apply; it covers in-home personal care and home health, not case management.
Units and rounding
One unit is one calendar month. Programs usually require a minimum contact in the month, such as a visit or call with the participant, before the month can be billed; check your state’s case management standards.
Modifiers you will see
- U1–U9: State-defined; often distinguish programs (waiver vs state plan), service levels or provider types
Modifier meanings are set by each state and payer, so check your provider manual. See home care billing modifiers.
Typical rates
Monthly case management rates are set per state program and managed-care plan. Each state program and managed-care plan sets its own rate, so use your state’s current fee schedule.
Common denial reasons
- No qualifying contact documented for the month
- More than one unit billed for the month
- Another agency already billed case management for the month
- Participant not enrolled in the waiver for that month
Related codes
- T2025: Waiver services; not otherwise specified (NOS)
- T2027: Specialized childcare, waiver; per 15 minutes
Source
CMS HCPCS Level II code set (quarterly update). Confirm the exact descriptor and any state-specific unit definition in your payer’s billing manual. Last reviewed November 6, 2026.
General information, not billing or legal advice. Check your state Medicaid agency’s current fee schedule and provider manual.