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-17 - Community Support Services
Subsection 144-101-II-17.06 - NON-COVERED SERVICES
Current through 2024-38, September 18, 2024
Services Not MaineCare Reimbursable. The following services are not MaineCare reimbursable under this Section and as referenced in Chapter I, Section 1.06-5:
A. Programs, services, or components of services that are primarily opportunities for socialization and activities that are solely recreational in nature (such as picnics, dances, ball games, parties, field trips, religious activities, social clubs, camps, and companionship activities);
B. Programs, services, or components of services the basic nature of which is to maintain or supplement housekeeping, homemaking, or basic services for the convenience of a person receiving covered services (including housekeeping, shopping, childcare, and laundry service).
C. Substance Use Disorder treatment services which do not meet the criteria cited in Subsection 17.02-3(A).
D. Psychotherapy, as defined in Chapter II, Section 65, except for Assertive Community Treatment.
E. Costs for paperwork, internal meetings, or appointment reminders associated with the delivery of covered services are built into the rates and are not reimbursable as separate services.
F. Refer to the MaineCare Benefits Manual, Chapter I for additional listings of non-covered services.
G. Transportation Services. Costs related to transportation are built into the rates for services provided under this Section. Therefore, separate billings for travel time are not reimbursable.
