MaineCare in Education: New Modifier Guidance for Sections 28 and 96

Maine Department of Health & Human Services sent this bulletin at 05/17/2022 03:00 PM EDT

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May 17, 2022

Effective immediately, all providers submitting claims for Individuals with Disabilities Education Act (IDEA) services must include the TL or TM modifier on the claim line to indicate if the service was provided pursuant to an Individualized Education Program (IEP) or Individual Family Service Plan (IFSP), respectively.

TL and TM modifiers must now be included for claims submitted for any and all services delivered under MaineCare Sections 28 and 96 of MBM.

If you have questions, please email them to the MaineCare in Education.

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