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-113 - Non-Emergency Transportation (NET) Services
Subsection 144-101-II-113.13 - REIMBURSEMENT
Current through 2024-38, September 18, 2024
A. The Department pays each Broker for the provision of NET services under this Section pursuant to the Department's contract with the Broker.
B. Transporters are paid by Brokers pursuant to Service Agreement contracts entered into between these parties.
C. Transporters who have not entered into a Service Agreement with a Broker (e.g., family and friends) are paid by the Broker according to rates set by the Department as described in this Section.
D. The Brokers shall use the following NET encounter codes to track encounter (trip) data as required under the NET contract with the Department.
|
NET ENCOUNTER CODES |
DESCRIPTION |
UNIT OF SERVICE |
|
T2003 |
NONEMERGENCY TRANSPORTATION; ENCOUNTER/TRIP [PROVIDER BASE RATE (ONE WAY TRIP)] |
PER ONE-WAY TRIP |
|
S0215 |
NONEMERGENCY TRANSPORTATION; MILEAGE,PER MILE [Provider(AGENCY) CONTROLLED VEHICLE] |
PASSENGER MILE |
|
S0215 Mod TK |
NONEMERGENCY TRANSPORTATION; MILEAGE, PER MILE [SHAREDRIDE ON A PROVIDER (AGENCY) CONTROLLED VEHICLE] |
PER MILE |
|
A0090 |
NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE PROVIDED BY INDIVIDUAL (FAMILY MEMBER, SELF, NEIGHBOR) WITH VESTED INTEREST [FAMILY VEHICLE - NON-EMERGENCY TRANSPORTATION PER MILE] |
PER MILE |
|
A0080 |
NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZATION), WITH NO VESTED INTEREST [VOLUNTEER VEHICLE - NON-EMERGENCY TRANSPORTATION PER MILE] |
PER MILE |
|
A0110 |
NONEMERGENCY TRANSPORTATION AND BUS, INTRA- OR INTERSTATE CARRIER |
ACTUAL ONE-WAY FARE |
|
A0100 |
NON-EMERGENCY TRANSPORTATION- TAXI |
ACTUAL ONE WAY FARE |
|
A0110-UA |
NONEMERGENCY TRANSPORATION-BUS PASS |
ACTUAL ONE WAY FARE |
|
A0160 |
NONEMERGENCY TRANSPORTATION: PER MILE-CASEWORKER OR SOCIAL WORKER [STATE (EMPLOYEE) RATE - NON-EMERGENCY TRANSPORTATION PER MILE] |
PER MILE |
|
T2001 |
NONEMERGENCY TRANSPORTATION; PATIENT ATTENDANT/ESCORT [ATTENDANT ON COMMON CARRIER OTHER THAN A TAXI] |
ACTUAL FARE |
|
A0170 |
TRANSPORTATION ANCILLARY - PARKING FEES, TOLLS, OTHER [Family and Volunteer drivers may use this code.] |
ACTUAL FARE |
|
A0180 |
NON-EMERGENCY TRANSPORTATION - ANCILLARY - LODGING - RECIPIENT |
ACTUAL FARE |
|
A0190 |
NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS - RECIPIENT |
ACTUAL FARE |
|
A0200 |
NON-EMERGENCY TRANSPORTATION - ANCILLARY - LODGING - ESCORT |
ACTUAL FARE |
|
A0210 |
NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS - ESCORT |
ACTUAL FARE |
|
T2002 |
NONEMERGENCY TRANSPORTATION; PER DIEM [PROVIDER BASE RATE FOR SEVEN DAY CLINICS] |
PER DAY |
|
HOME AND COMMUNITY BASED WAIVERS |
||
|
T2003-U3 |
TRANSPORTATION (SECTION 21, iNTELLECTUAL DISABILITES OR AUTISTIC DISORDERS WAIVER) |
PER MILE |
|
T2003-HA |
TRANSPORTATION (Section 32 Waiver Services for Children with Intellectual Disabilities or Pervasive Developmental Disorders) |
PER MILE |
|
T2003-U4 |
TRANSPORTATION (Section 29, Support Benefits for adults with Intellectual Disabilities or Autistic Disorder waiver) |
PER MILE |
|
T2003-U8 |
TRANSPORTATION (Section 20 Home and Community Benefits (HCB) for Adults with disabilities waiver) |
PER MILE |
|
S0215-U1 |
TRANSPORTATION, MILEAGE PER MILE (Section 19, Home and Community Based Benefits for the Elderly and for adults with Disabilities waiver) |
PER MILE |
|
WHEELCHAIR VAN Providers |
||
|
A0130 |
NON-EMERGENCY TRANSPORTATION - WHEELCHAIR VAN |
PER TRIP |
|
S0209 |
WHEELCHAIR VAN, MILEAGE, PER MILE [DOOR-THROUGH-DOOR] |
PASSENGER MILE |
