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-93 - Opioid Health Home Services
Subsection 144-101-II-93.09 - BILLING INSTRUCTIONS

Universal Citation: 10 ME Code Rules § 144-101-II-93.09

Current through 2024-38, September 18, 2024

The OHH shall attest through a claims process that the OHH has performed the necessary "minimum billable activity" (Section 93.08) each month to receive payment for Section 93 members.

Billing for medications (93.05-5), shall be as follows:

A. When a prescription for medication is written, but not dispensed at the OHH, the dispensing pharmacy shall bill for the medication in accordance with MBM, Section 80, "Pharmacy Services".

B. When a prescription for medication is dispensed by the OHH, the OHH shall include the billing for the medication on the applicable UB or 1500 claim form.

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