Attention Personal Care Services (PCS) Providers: Billing Telehealth T1004 and T1019 is Not Allowable - EVV Trainings and Forums

 Attention Personal Care Services (PCS) Providers: Billing Telehealth T1004 and T1019 is Not Allowable

Chapter 1, Section 4, Telehealth Services, Personal Care Aide (PCA) services provided under Chapter II, Section 96 of the MaineCare Benefits Manual states: “Private Duty Nursing and Personal Care Services are not permitted and are non-covered services, as part of telehealth services.”

The following table provides two Section 96 codes that are not eligible for telehealth reimbursement. 

Code	Service	Description
T1004	Home Health Aide/ Certified Nursing Assistant Services	Services of a qualified nursing aide to 15min
T1019	Personal Support Services (PSS) – (for PCA Agencies only) multiple patients (3)	Personal care services, per 15 min, not for inpatient

 

 

 

Please contact Provider Relations Specialist, Tia Bolduc, with questions.

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Electronic Visit Verification (EVV) Trainings and Forums

The EVV requirement deadline for Personal Care Services (PCS) was January 1, 2021 and will be January 1, 2023 for Home Health providers delivering services under Section 40.

We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.

Training Topics

Training topics include, but are not be limited to:

• Accessing the Sandata EVV portal via the Health PAS Online Portal
• Performing EVV administrative functions such as creating and editing information for employees who will use the system
• Navigating through the Sandata EVV system
• Entering and editing visit records
• Recording visit data using other devices
• Accessing and reviewing reports 
• Avoiding EVV visit exceptions

Training Schedule

Training - Provider
Date	Time
April 1, 2021	1:00-4:00
May 6, 2021	9:00-12:00
June 3. 2021	1:00-4:00

 

Training - Aggregator
Date	Time
March 25, 2021	9:00-10:00
April 15, 2021	1:00-2:00
May 20, 2021	9:00-10:00
June 17, 2021	1:00-2:00

You can register for these courses through the Absorb training platform.

EVV Forums

The purpose of the forums is to answer technical questions regarding the State EVV system and Alternate EVV System Integration process.

If you are interested in implementing an Alternate EVV System, please invite your vendor partners to join the aggregator forums as well.

Forum Schedule

Forums - Provider
Date	Time
March 30, 2021	1:00-2:00
April 20, 2021	1:00-2:00
May 18, 2021	1:00-2:00
June 15, 2021	1:00-2:00

 

Forums - Aggregator
Date	Time
March 23, 2021	1:00-2:00
April 13, 2021	1:00-2:00
May 11, 2021	1:00-2:00
June 8, 2021	1:00-2:00

You can register for the forums through the Absorb training platform.

Forum Questions

Please prepare questions in advance. Once the forum has started, questions can be submitted for review through the Teams chat feature at any time. Instructions on how to submit questions will be reviewed during the beginning of the forum. If you wish to submit questions, please be sure to use your computer to access the Teams chat.

IMPORTANT: During the forum, please submit questions in the following format.

• NPI
• Contact Name
• Contact Phone Number/Email Address
• Question

This information will help State and DXC staff to follow up with answers to your questions. The team will work to answer as many questions as possible during the call, but, due to time constraints, some questions may need to be addressed after the forum. If we cannot answer your question during the call, we will record your contact information and question(s), and follow-up afterward.

Absorb First Time Users

If you have not registered with the Absorb training platform, see the First Time User Guide for assistance. To access the guide, go to the Health PAS Online Portal and log into your TPA (Trading Partner Account). Next, click on the section called "Trading Partner User Training," and you will see the link to the First Time User Guide.

Questions?

See the EVV webpage for more information, including Frequently Asked Questions (FAQ).

Please contact Provider Services with questions:

• Email MaineCare's EVV email box
• Call Provider Services at 1-866-690-5585, option 3