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-7 - FREE-STANDING DIALYSIS SERVICES
Subsection 144-101-II-7.08 - REIMBURSEMENT
Current through 2024-38, September 18, 2024
A. The amount of payment for services rendered by a dialysis center shall be the facility composite rate. Medically necessary items or services that are not included in the composite rate may be billed and reimbursed in accordance with other sections of MaineCare policy (e.g., laboratory services, pharmacy services, physician services, etc.); however, non-composite items or services must be documented on the same claim form as the composite services.
B. In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from any other resources that are available for payment of the rendered service prior to billing the MaineCare Program.
