Attention Section 97, Appendix D Children’s Residential Care Facility Providers - Supplemental Payment Information

Dec 16, 2022

Per PL 2021, ch. 635, Sec. A-17, 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 issued the second installment of a one-time supplemental payment to Children’s Residential Care Facility providers under Section 97, Appendix D.  

The following codes identify the services eligible for these payments:   

Code	Modifier
H0019	HE
H0019	CG
H0019	SE
H0019	U9

Payments to providers are proportional to any reduction in utilization across these four codes between calendar years 2019 and 2021. 

The budget provided appropriations for a two-part payment. The first payment was issued as part of the June 29, 2022, cycle, details can be found in the June 29, 2022, notice. The remaining $5.8 million was issued in the December 15, 2022, cycle. The payments are indicated as an “OTHER” payment on the Summary page of the paper remittance advice (RA) and as an invoice number beginning with “PNMD” on the 835.  

The one-time payments shall be used for provision of the specified MaineCare services within Section 97, Appendix D. They should be used to stabilize and expand capacity that was reduced due to the COVID-19 pandemic and its indirect effects. The payments will not be cost settled. 

The Department intends to seek and anticipates Centers for Medicare & Medicaid Services (CMS) approval for these payments.

Please contact your Provider Relations Specialist with questions.