Attention Behavioral Health Service Providers - Behavioral Health and Targeted Case Management Supplemental Payment Information 

Jun 21, 2022

Per PL 2021, ch. 635, Sec. A-16, An Act To Make Supplemental Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and To Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2022 and June 30, 2023, this week the Department will be issuing one-time supplemental payments for certain behavioral health services and Targeted Case Management.  

Eligible services for these payments include all services provided through Section 13 (Community Support Services), as well as certain services under Sections 17 (Community Support Services) and 65 (Behavioral Health Services). For code-level detail on the eligible services, please see the table below. 

Section 13, Targeted Case Management
Code	Description
ALL	Case Management Services
Section 17, Community Support Services
Code	Description
H0040	Assertive Community Treatment
Section 65, Behavioral Health Services
Code	Description
H0004	Outpatient Therapy (all modifiers)
H2021	Home- and Community-Based Treatment (HO, HN, and HU or HU/U1 modifiers)

The budget provided General Fund appropriations for fiscal year 2022 of $2 million for Section 13: Targeted Case Management, $3.55 million for Section 65: Home and Community Treatment, and $3 million for Section 65: Outpatient Therapy. Within each of these three service categories, each agency (excluding providers with no MaineCare claims in the last 90 days) will receive a one-time payment that reflects its percentage of MaineCare claims-based revenue incurred in calendar year 2021.  

The budget also provided $3.55 million in General Fund appropriations for fiscal year 2022 for Section 17: Assertive Community Treatment. Each agency (excluding providers with no MaineCare claims in the last 90 days) will receive a one-time payment that is proportional to their total number of currently active ACT Team panels as of May 2022. The per pane amount equates to $295,833.33.  

The Department of Health and Human Services will make these one-time payments automatically, without an application or registration process.  The payments will be included as part of this week’s payment cycle and will be indicated as an “OTHER” payment on the Summary page of the paper remittance advice (RA) and as an invoice number beginning with “BH” on the 835.  

The one-time payments shall be used for provision of the specified MaineCare services within the named sections. They should be used to stabilize and expand capacity that was reduced due to the COVID-19 pandemic and its indirect effects. The period of performance for use of these payments is calendar year 2022. The payments will not be cost settled. 

Please be aware that DHHS has reporting requirements for these funds. In January 2023, all recipients must provide (1) a description of how they used the payments, (2) changes in staff turnover rates between July and December 2022, and (3) changes in staff capacity between July and December 2022. The Department will activate a portal for reporting this information in January 2023. These requirements apply to all Behavioral Health supplemental payments described in this message. 

Please contact your Provider Relations Specialist with questions.