Sections 18 and 20, Home and Community Based Services for Adults with Brain Injury or other Related Conditions: Rate Correction - CR 130249

As previously announced in September of 2024, MaineCare removed all documented add-on amounts associated with the service provider tax for MaineCare reimbursements, effective January 1, 2025.

The codes and modifiers listed in the table below for sections 18 and 20 are now updated to reflect this rate change and no provider action is needed.

Procedure Code & Modifiers

Service Description

Rate Ending 12/31/2024

Rate Effective 1/1/2025

T2016, U9, TT

Home Support Level II, 5-8 Beds, Per Diem

$374.86

$353.64

T2017, U9, QC

Remote Monitor Only Home Support, 15 Min

$3.25

$3.07

T2017, U9, GT

Remote Interactive Home Support, 15 Min

$11.60

$10.94

T2016, U8, TT

Home Support, 2-4 Beds, per Diem

$502.76

$474.30

T2017, U8, QC

Remote Monitor Only Home Support, 15 Min

$3.25

$3.07

T2017, U8, GT

Remote Interactive Home Support, 15 Min

$11.60

$10.94

 

 

For questions, please contact your Provider Relations Specialist.