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-96 - Private Duty Nursing and Personal Care Services
Subsection 144-101-II-96.10 - BILLING INSTRUCTIONS

A. Billing must be accomplished in accordance with instructions for either the CMS 1500, or the UB04 Form, as appropriate.

B. In order to receive full MaineCare reimbursement for claims submitted for a service that is defined as an exemption in Chapter I, refer to the billing instructions distributed by the Department and to Chapter I, "General Administrative Policies and Procedures".

C. All services provided on the same day shall be submitted on the same claim form for MaineCare reimbursement.

D. All providers involved in the delivery of services to a Member are responsible for billing for those services with appropriate procedure codes outlined in Chapter III.

Billing for services delivered to children under age 21, excluding those receiving care under the family provider service option, and for all Level VI and Level VII services, shall be submitted to the Department.