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-91 - Physician Services
Subsection 144-101-II-91.09 - REIMBURSEMENT

1. Reimbursement is specified in Chapter III, Section 91.

2. CCTs and HOME Providers are eligible for reimbursement for each Member for each Billing Month if they provide at least one Section 91.06 or 91.07 Covered Service in accordance with the Member's Plan of Care.

3. For Members receiving HOME services and residential or facility services concurrently, as allowable in 91.05, the HOME Provider shall attest to the Member at the next less intensive tier of services or remain attested at Maintenance Tier for the duration of the residential or facility services. When residential or facility services end, the HOME Provider shall attest to the Member at the most appropriate tier based on the Member's current criteria.