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-23 - Developmental and Behavioral Clinic Services
Subsection 144-101-II-23.08 - BILLING INSTRUCTIONS
Current through 2024-38, September 18, 2024
A. Providers must bill in accordance with the Department's billing instructions for the CMS1500 claim form.
B. CHA Billing Instructions
Providers may bill for the CHA initial assessment once they submit the CHA final report. The bundled payment for the CHA initial assessment includes reimbursement for the medical exam component and the CHA final report.
Providers may bill for the CHA follow-up evaluation once they complete the follow-up evaluation and submit reports to the Department. The bundled payment for the CHA follow-up evaluation includes reimbursement for the medical exam component and the medical report.
Providers must deliver and bill for the services that make up the psychosocial component of the CHA in accordance with the applicable section of the MBM.
Billing instructions are available upon request or from the Department's website at: https://mainecare.maine.gov/Billing%20Instructions/Forms/Publication.aspx
