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 II - Specific Policies By Service
Section 144-101-II-107 - Psychiatric Residential Treatment Facility Services
Subsection 144-101-II-107.11 - REIMBURSEMENT
Current through 2024-38, September 18, 2024
107.11-01 Principles of Reimbursement. The PRTF Principles of Reimbursement are specified in the MaineCare Benefits Manual, Chapter III, Section 107.
For each MaineCare provider enrolled as a participating Psychiatric Residential Treatment Facility, the Department will determine a prospective per diem rate for routine and fixed costs, as determined under Chapter III, Section 107, Principles of Reimbursement for Psychiatric Residential Treatment Facilities. Medical, clinical, and direct care services are reimbursed per diem as described in Chapter III, Section 107, Principles of Reimbursement for Psychiatric Residential Treatment Facilities Providers are required to obtain separate MaineCare provider number(s) for each PRTF. Upon completion of the provider's fiscal year, the providers shall submit to the Department, a cost report for each PRTF that has been assigned a provider number(s) in accordance with Chapter III of the Principles of Reimbursement.
