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-13 - TARGETED CASE MANAGEMENT SERVICES
Subsection 144-101-II-13.05 - NON-COVERED SERVICES
Current through 2024-38, September 18, 2024
1. Payment for Targeted Case Management Services must not duplicate payments made to public agencies or private entities under other program authorities for case management or service coordination services.
2. Case Management does not include the direct delivery of an underlying medical, educational, social or other service to which an eligible member has been referred.
3. Payments for case management services under this Section must not duplicate payments for similar services made under other sections of MaineCare policy or other funding sources.
4. Only one Comprehensive Targeted Case Manager is allowed.
5. Payments for the documentation of progress notes are not allowable under this Section.
