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-89 - MaineMOM Services and Reimbursement
Subsection 144-101-II-89.10 - BILLING INSTRUCTIONS
Universal Citation: 10 ME Code Rules ยง 144-101-II-89.10
Current through 2024-38, September 18, 2024
A. The MaineMOM provider shall attest through a claims process that the MaineMOM provider has performed the necessary minimum billable requirements (Section 89.09-1) each month to receive payment for Section 89 members.
B. Billing for medications (Section 89.05-4), shall be as follows:
1. When a prescription for
medication is written, but not dispensed at the MaineMOM provider, the
dispensing pharmacy shall bill for the medication in accordance with MBM,
Section 80, "Pharmacy
Services".
2. When a prescription
for medication is dispensed by the MaineMOM provider, the MaineMOM provider
shall include the billing for the medication on the applicable UB or 1500 claim
form.
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