Billing Electronic Visit Verification (EVV) Services with Place of Service (POS) 10, CR 99359
Maine Department of Health & Human Services sent this bulletin at 02/19/2021 02:51 PM EST
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Billing Electronic Visit Verification (EVV) Services with Place of Service (POS) 10, CR 99359
The following services are excluded from EVV record requirements when the claims are submitted using POS 10. For reference, POS 10 should only be used in the following situations. Please note that this language has been clarified since the e-message we sent on February 9, 2021.
When to use POS 10:
- For Section 28 services when the service is not delivered one-to-one within the member’s home.
- For Section 28 services when the service does not include personal care/skill-building components (e.g. one-to-one for development or completion of a comprehensive assessment).
- For Sections 12, 18, 19, 20, 21, 29, and 96 services when the individual providing the service is a live-in caregiver.
Providers who wish to correct the POS code on an EVV claim that is currently in pend status may take either of the steps below.
- Wait for the claim to deny, then resubmit the claim with the corrected information.
- Submit a new claim with the corrected information; the original claim will eventually deny if the EVV requirements are not met.
Do not make a change to the claim that is currently pending.
Update to POS 10 Functionality:
We previously announced that this functionality is available when claims are submitted via Direct Data Entry (DDE) on the Health PAS Online Portal. At this time, the functionality is now also available for claims that are created and submitted using Electronic Data Interchange (EDI).
If you have any questions, please contact Provider Services by email or phone at 1-866-690-5585, option 3.