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-17.10 - REIMBURSEMENT
Current through 2024-38, September 18, 2024
17.10-1 Rates. Reimbursement is specified in the MaineCare Benefits Manual Chapter III, Section 17.
17.10-2 Services Provided in a Group. When Community Support Services are provided in a group, one or two Community Support Providers may facilitate the session, as appropriate. However, only one facilitator may bill for the members participating in that group.
17.10-3 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:
17.10-4 Exemption from Rounding. Providers of services under this Section will be reimbursed for any substantive contact at a minimum of fifteen (15) minutes. After the initial fifteen (15) minutes providers are subject to the rounding requirements in Chapter I of the MaineCare Benefits Manual.
