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
Subsection 144-101-III-107-20 - SPECIAL SERVICE ALLOWANCE

20.1.1 A special ancillary service is that of an individual nature required in the case of a specific resident. This type of service includes, but not limited to professional services such as physical therapy, occupational therapy, and speech and hearing services. Special services of this nature must be billed through the appropriate Section of the MaineCare Members Benefit Manual required for the care of individual members.

20.1.2 Board Certified Behavior Analyst (BCBA) consultation with Prior Authorization.

20.1.3 Interpreter Services to address any existing or newly diagnosed physical health conditions when medically necessary as outlined in Chapter 1 of the MaineCare Members Benefits Manual.

20.1.4 Medical Services to address any existing or newly diagnosed physical health conditions when medically necessary and cannot be provided at the PRTF.