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-32 - Allowances for Waiver Services for Children with Intellectual Disabilities or Pervasive Developmental Disorders
Universal Citation: 10 ME Code Rules ยง 144-101-III-32
Current through 2024-38, September 18, 2024
| Procedure Code | Modifier | Description | Unit of Service | Maximum allowance |
| T2017 | HA | HOME SUPPORT (Habilitation, residential, waiver)-Family | 1/4 hour | $6.33 |
| T2017 | HA TJ | HOME SUPPORT (Habilitation, residential, waiver) -Agency | 1/4 hour | $6.33 |
| T2016 | HA | HOME SUPPORT (Habilitation, residential, waiver) -Family | Per diem | $265.83 |
| T2016 | HA TG | level of support | Per diem | $502.79 |
| T2016 | HATJ | HOME SUPPORT (Habilitation, residential, waiver) -Agency | Per diem | $353.91 |
| S5150 | HA | RESPITE | 1/4 hour | $3.00 |
| S5151 | HA | RESPITE | Per diem | $90.00 |
| S5165 | HA | HOME ACCESSIBILITY ADAPTATIONS (Home Modifications) | Per itemized invoice | |
| S5165 | CG HA | Repairs | Per itemized invoice | |
| V5274 | HA | COMMUNICATORS (INCLUDING REPAIR AND MAINTENANCE), ASSISTIVE DEVICES | Per itemized invoice | |
| G9007 | HA HP | CONSULTATION-Psychiatric | 1/4 hour | $63.75 |
| G9007 | HA AH | CONSULTATION-Psychological | 1/4 hour | $19.80 |
| G9007 | HA GP | CONSULTATION-Physical Therapy | 1/4 hour | $5.40 |
| G9007 | HA GN | CONSULTATION-Speech Therapy | 1/4 hour | $5.40 |
| G9007 | HAGO | CONSULTATION-Occupational Therapy | 1/4 hour | $5.40 |
| G9007 | HA | CONSULTATION-Recreational Therapy | 1/4 hour | $5.40 |
| G9007 | HA HI | CONSULTATION-Behavioral | 1/4 hour | $21.00 |
| Modifiers - | TJ- | Agency Home Support |
| TG- | Increased Level of Support | |
| HA- | Child | |
| HP- | Psychiatric Consultation | |
| AH- | Psychological Consultation | |
| GP- | Physical Therapy | |
| GN- | Speech Therapy | |
| GO- | Occupational Therapy | |
| HI- | Behavioral Consultation | |
| CG- | Repairs for Home Modifications |
Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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