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-109 - Speech and Hearing Services
Subsection 144-101-II-109.06 - SETTING
Current through 2024-38, September 18, 2024
MaineCare will reimburse speech and hearing services when provided in appropriate settings. Approved settings for these services are the practitioners' office, speech and hearing agencies, members' homes, and schools for members under age 21.
Services may be provided in an alternative setting at the practitioner's discretion when the following conditions are met:
1. The services are medically necessary.
2. The setting is conducive to the services being provided.
For speech and hearing services provided in a nursing facility or an ICF-MR by a speech-language pathologist or audiologist, refer to Chapter II, Section 67, "Nursing Facility Services", or Section 50, "ICF-MR Services".
