[Provider] Billing Reminder for LCPCs and LMFTs

[Provider Notification]

PLEASE NOTE CORRECTION:

The message (below) sent earlier today was also addressed to Registered
Nurses - Certified and Registered Nurses.  This was in error.   The
message here has been corrected.  We apologize for any confusion.

 

ATTENTION:            MaineCare Providers who are Licensed Clinical
Professional Counselors and 

Licensed Marriage and Family Therapists 

Services provided by LCPCs and LMFTs can be billed to MaineCare without
the Medicare Explanation of Benefits (EOB) for procedure codes H0004,
H2000 and H2010.   These claims must be submitted to MaineCare on paper
claim forms.  Any claims submitted electronically will deny.

Prior to the revisions of Section 65, providers were able to bill
specific or local codes for these servicing provider services.  New
Section 65 policy uses general, HIPAA compliant codes that cover
multiple licensure types.  This requires MaineCare to review these types
of claims manually, in order for them to process correctly.

 

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

 

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