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-109.10 - REIMBURSEMENT
Universal Citation: 10 ME Code Rules ยง 144-101-II-109.10
Current through 2024-38, September 18, 2024
The maximum amount of payment for services rendered is the lowest of the following:
A. The provider's usual and customary charge,
B. The amount listed in Chapter III, Section 109 of the MaineCare Benefits Manual,
C. The lowest amount allowed by Medicare Part B, when applicable.
In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from any other resources that are available for payment of the rendered service prior to billing MaineCare.
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