​​Section 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Claim Denials, CR 129350​

Jan 10, 2025

MaineCare has identified some Section 28 claim lines submitted with service code H2021 that denied for Benefit Restriction Group Validation Failed due to a system error. This error has been corrected. We will reprocess the affected claims. No action is required by providers.  

The Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) are as follows.  

• CARC 96: Non-covered charge(s).  

• RARC N130: Consult plan benefit documents/guidelines for information about restrictions for this service.  

For questions, please email Pamela Grotton, Provider Relations Specialist.