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-40 - Home Health Services
Subsection 144-101-II-40.09 - REIMBURSEMENT
Current through 2024-38, September 18, 2024
A. The amount of payment for services rendered shall be the lowest of the following:
B. 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 prior to billing MaineCare.
C. The eligibility requirements and limits on Home Health Services under this Section do not apply to members with Medicare coverage or other third party health insurance until the coverage for these Home Health Services, (including occupational therapy, physical therapy and speech-language pathology services) by the other third party payor has been exhausted. MaineCare will cover the co-insurance and deductible in these cases.
D. Only a Home Health Agency may receive reimbursement for telemonitoring services.
E. Telemonitoring may not be billed as a waiver service.
