Attention Section 28 Electronic Visit Verification (EVV) Providers, CR 116442

Apr 06, 2023

Earlier this year, the Department made changes to Section 28 rates and modifier combinations as a result of recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639. These changes included allowing providers of Section 28 services to use the TJ modifier with procedure code H2021. Claims with this code/modifier combination are subject to EVV requirements. However, due to a delay in the EVV-related systems implementation, providers have been unable to create corresponding visit records for members receiving these approved in-home services. 

We apologize for the inconvenience and are working to correct this issue as soon as possible. We anticipate resolution in the next few days and will send another message once the fix is in place. 

Please contact Provider Services with questions:  

• Email MaineCare's EVV email box   

• Call Provider Services at 1-866-690-5585, option 3.