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 III - Allowances for Services
Section 144-101-III-107 - Principles of Reimbursement for Psychiatric Residential Treatment Facility Services
Appendix 144-101-III-107-I

Current through 2024-38, September 18, 2024

REVENUE CODE

DESCRIPTION

MAXIMUM ALLOWANCE

UNIT

1001

Medical, Clinical, & Direct Care Services provided in a Psychiatric Residential Treatment Facility (Per Diem)

$485.72

Per day

0169

Room and Board

Routine and Fixed Costs allowance as determined by the Facility's rate letter

Per day

0184

Therapeutic Leave Day

Routine and Fixed Costs allowance as determined by Facility's rate letter as under 0169

Per day

0185

Medical Leave Day

Routine and Fixed Costs allowance as determined by Facility's rate letter as under 0169

Per day

Procedure Code: G9007 HK

Board Certified Behavior Analyst (BCBA)

$16.60

Per 15 minutes

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