[Provider] Revised Billing Update for Residential Care Facilities

[Provider Notification]

ATTENTION:  All MaineCare Providers Previously Billing for "Bed Hold"
Days

 

The listserv message sent yesterday on this topic incorrectly stated
some of the procedure codes providers should now use.  The corrected
paragraph follows:

 

Providers should continue to use procedure codes BQ, BP, or MRP to bill
for Medical and Remedial Services and for Personal Care Services.   You
may only bill for days that a member receives covered services from the
facility.  Billing is only allowed for the routine component using
procedure code BH or MRB for the days that a member is in the facility
and BL or MRBL for bed hold days of up to 30 days when a member is on a
leave from the facility. 

 

We do apologize for any confusion this error may cause.

 

Please contact the MaineCare provider relations office at
1-800-321-5557, Option 9 for further assistance.

 

 

This is a one-way communication.  Please do not respond to this message.

 

 

 

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