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<div class=Section1>
<p class=MsoNormal>The following HIPAA Code Sets have been updated in
MaineCare’s claims processing system. The changes will go into
effect on Wednesday, July 1.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
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<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code
Type<o:p></o:p></span></b></p>
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border-left:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code<o:p></o:p></span></b></p>
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<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Explanation<o:p></o:p></span></b></p>
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border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Condition
Code (Added) </span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code
42</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Continuing
care not Related to inpatient hospitalization.</span><span style='font-size:
12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Claims
Adjustment Reason Code (End Dated)</span><span style='font-size:12.0pt;
font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<td width=197 valign=top style='width:2.05in;border-top:none;border-left:
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padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code
17</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>This
code has been cross-walked to Code 16</span><span style='font-size:12.0pt;
font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Requested
information was not provided or was insufficient / incomplete.</span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<tr>
<td width=197 valign=top style='width:2.05in;border:solid windowtext 1.0pt;
border-top:none;padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>UB
Claim Form Bill Type, Bill Classification (Clinics Only) <b>*These
codes were added but MeCMS cannot process these bill types.</b></span><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<td width=197 valign=top style='width:2.05in;border-top:none;border-left:
none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code
5</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Code
2</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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padding:0in 5.4pt 0in 5.4pt'>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Comprehensive
outpatient rehabilitation facilities (CORFs)</span><span style='font-size:
12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:10.0pt;font-family:"Times New Roman","serif"'>Hospice
(hospital-based)</span><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
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<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>**</span>Not
all of the codes that are published are used by MaineCare. Please
continue to follow MaineCare billing instructions that can be found by clicking
on the following link</b><b><u><span style='font-size:10.0pt;font-family:"Arial","sans-serif";
color:blue'> <o:p></o:p></span></u></b></p>
<p class=MsoNormal><a
href="http://www.maine.gov/dhhs/oms/providerfiles/billing_instructions.html">http://www.maine.gov/dhhs/oms/providerfiles/billing_instructions.html</a><o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<div style='mso-element:para-border-div;border:none;border-bottom:solid windowtext 1.0pt;
padding:0in 0in 1.0pt 0in'>
<p class=MsoNormal style='border:none;padding:0in'><o:p> </o:p></p>
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<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Is
your mailing address up to date with MaineCare? Please keep MaineCare up
to date so your Remittance Statements and checks arrive on time. Call
Provider Enrollment at 1-800-321-5557 Option #6. <o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>If
you would rather not get these e-mails, visit <a
href="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml"
title="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml">MaineCare's
List Serve Subscription</a> page to unsubscribe.<o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>This
is a one-way communication. Do not reply to this e-mail. Your
e-mail will not receive response. If you have questions, please call<o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>1-800-321-5557.</span></i><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
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