[Provider] Important Claims Information Regarding U1 Modifier

[Provider Notification]

ATTENTION:  MaineCare Providers of Behavioral Health Services

 

It has come to our attention that MaineCare is unable to process claims
correctly in most cases when the U1 modifier is used on claim forms.  We
are asking that providers not use the U1 modifier except for the cases
where procedure codes H0021 HU or H0023 HU are authorized with the
additional U1 modifier under Section 65, Mental Health Services. 

 

The "Servicing Provider ID Number" must be included on the claim form.
If you are using the CMS 1500 (12/90) version this number is written in
Box 24K that is labeled "Reserved for Local Use".  If using CMS 1500
(08/05) version, enter the servicing provider number in the shaded area
of 24J that is labeled "Rendering Provider ID #".  If the service is
provided by one of the Grandfathered (BS-1) "Bachelor's Level staff" or
other qualified staff, put the servicing provider number of the
supervisor in Box 24K or 24J.  Remember, except as indicated above; do
not put the U1 modifier on the claim form.

 

All billing questions should be directed to the MaineCare Billing and
Information Unit at 1-800-321-5557, Option 8.  This Unit will assist
providers with billing resolution.  If during the call, it is determined
that the issue needs a higher level of intervention, the caller will be
referred to the appropriate Provider Relations Specialist.

 

 

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

 

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