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-13.09 - REIMBURSEMENT

13.09-1 Rates

Reimbursement is specified in Chapter III, Section 13, Allowances for Targeted Case Management Services.

Providers of services reimbursed on a quarter hour basis under this Section will be reimbursed for any substantive contact at a minimum of fifteen (15) minutes. Providers are subject to the rounding requirements in Chapter I of the MaineCare Benefits Manual (Provider Participation).

13.09-2 Reimbursement Allowances

In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from every other source that is available for payment of a rendered service before billing MaineCare.

MaineCare will pay the lowest of the following:

13.09-3 Certified Public Expenditure ("Certified Seed")

All agencies that provide case management services must follow all state and federal requirements as set forth in Chapter I of the MaineCare Benefits Manual.