`S5141` Adult foster care per month

Foster care, adult; per month

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S5141

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S5141

2 of 2 payer prior-auth lists that name S5141 require prior authorization or set conditions: Humana, Molina Healthcare of California.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Humana	Humana LTSS (Dual/integrated plan)	IN	prior auth required		Jul 1, 2024	Humana Gold Plus Integrated Indiana Long‐Term Services and Supports (LTSS) Preauthorization and Notification List Humana Gold Plus Integrated Indiana Long‐Term Services and Supports (LTSS) Preauthoriz
Molina Healthcare of California	Medicaid	CA	prior auth required	State exception	Apr 1, 2026	Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026

Payer coverage policies that name S5141

S5141 appears in 2 coverage policies from Aetna, Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Skilled Home Health Care Nursing Services (0201)	not covered (range S5140-S5141)	Apr 22, 2026	payer document
Premera Blue Cross	Non-covered Services and Procedures Page \| 19 of 30 \| ∞	not covered	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

IN: $57.74 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2023

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

S5141 Adult foster care per month