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-5 - AMBULANCE SERVICES
Subsection 144-101-II-5.09 - BILLING INSTRUCTIONS

A.

Billing must be accomplished in accordance with the Department's billing requirements; "Billing Instructions for CMS 1500 Claim Form."

B. In order to receive full MaineCare reimbursement for claims submitted for a service that is defined as a copayment exemption in Chapter I, Section 1 of the MaineCare Benefits Manual, the provider must follow billing instructions.

C. Some specialized services may require additional documentation to be submitted with the claim. Please refer to "Billing Instructions" for details.