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-12 - Consumer Directed Attendant Services
Subsection 144-101-II-12.09 - REIMBURSEMENT
Universal Citation: 10 ME Code Rules ยง 144-101-II-12.09
Current through 2024-38, September 18, 2024
A. Reimbursement for covered services shall be the lower of the following:
1. The amount
listed in Chapter III, Section
12, "Allowances for
Consumer-Directed Attendant Services;"
2. The lowest amount listed by Medicare;
or
3. The Service Coordination
Agency's usual and customary charge.
In accordance with Chapter I, it is the responsibility of the provider to seek payment from any other sources that are available for payment of the rendered services prior to billing MaineCare.
Reimbursement under this Section is subject to the unit rounding requirements and other reimbursement requirements listed in Chapter I of the MaineCare Benefits Manual.
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