Attn Section 21 Waiver Providers, CR 41382

April 14, 2014

An issue was identified where Section 21 and 29 waiver service claims with code T2021 were denied in error.

You will see the following CARC (Claims Adjustment Reason Code) and/or RARC (Remittance Advice Remark Code) on a future Remittance Advice, and corresponding edits can be viewed on the MyHealthPAS Portal:

  • CARC - 119 - Benefit maximum for this time period or occurrence has been reached.

  • RARC N640 - Exceeds number/frequency approved/allowed within time period.

  • Edit 271-benefit restriction group validation failed

  • Edit 206 benefit visit limit exceeded.

We will notify you when this issue is corrected. Affected claims will be reprocessed and no provider action is needed.