Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter I - Specific Policies By Service
Sec2 144-101-I-4 - Telehealth Services
Subsection 144-101-I-4.05 - NON-COVERED SERVICES AND LIMITATIONS

Universal Citation: 10 ME Code Rules § 144-101-I-4.05

Current through 2024-38, September 18, 2024

A. Except as set forth herein, services not otherwise covered by MaineCare are not covered when delivered via Telehealth Services.

B. Services covered under other MaineCare Sections but specifically excluded from Telehealth coverage include, but are not limited to the following:

1. Services that require direct physical contact with a Member by a Health Care Provider and that cannot be delegated to another Health Care Provider at the site where the Member is located are not covered;

2. Any service medically inappropriate for delivery through Telehealth Services - e.g. services that include providing medical procedures or administration of medications that must be conducted in person.

C. Except as set forth herein, reimbursement will not be provided for communications between Health Care Providers when the Member is not participating.

D. Except as set forth herein, reimbursement will not be provided for communications solely between Health Care Providers and Members when such communications would not otherwise be billable.

E. The Originating Site Fee may be paid only to a Health Care Provider.

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