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-40 - Home Health Services
|
REV CODE/PROC. CODE |
DESCRIPTION |
MAXIMUM ALLOWANCE PER UNIT EFFECTIVE THROUGH DECEMBER 31, 2018 |
MAXIMUM ALLOWANCE PER UNIT EFFECTIVE AS OF JANUARY 1, 2019* |
UNIT |
|
0551/ G0299 |
Services of skilled nurse in home health setting(RN) |
$28.32 |
$33.46 |
15 minutes |
|
0559/ G0300 |
Services of skilled nurse in home health setting(LPN/LVN) |
$19.82 |
$23.42 |
15 minutes |
|
0571/ G0156 |
Services of home health aide in home health setting |
$13.28 |
$15.16 |
15 minutes |
|
0431/ G0152 |
Services of occupational therapist, in home health setting |
$33.25 |
$36.83 |
15 minutes |
|
0431/ G0152TF |
Services of occupational therapist, in home health setting (occupational therapy assistant) |
$23.28 |
$25.79 |
15 minutes |
|
0421/ G0151 |
Services of physical therapist in home health setting |
$31.29 |
$36.58 |
15 minutes |
|
0421/ G0151TF |
Services of physical therapist in home health setting (physical therapy assistant) |
$21.91 |
$25.61 |
15 minutes |
|
0441/ G0153 |
Services of a speech and language pathologist in home health setting |
$32.78 |
$39.75 |
15 minutes |
|
0441/ G0153TF |
Services of speech and language pathologist in home health setting (speech and language pathologist assistant) |
$22.95 |
$27.83 |
15 minutes |
|
0561/ G0155 |
Services of clinical social worker in home health setting |
$28.32 |
$36.82 |
15 minutes |
|
0551/ T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional |
$84.95 |
$84.95 |
Per visit |
|
Code on web/ 0290 |
Non Routine Medical Supplies - General - To be billed with appropriate, allowable supplies code designated by MaineCare Services on the Internet At https://mainecare.maine.gov/Provider%20Fee%20Schedules/Forms/Publication.aspx?RootFolder=%2FProvider%20Fee%20Schedules%2FCustom%20Fee%20Schedules&FolderCTID=0x012000264D1FBA0C2BB247BF40A2C571600E81&View=%7B69CEE1D4-A5CC-4DAE-93B6-72A66DE366E0%7D |
Lower of either Acquisition Cost or DME price |
Lower of either Acquisition Cost or DME price |
Per Item |
|
S9110 |
Telemonitoring of Patient in their Home |
$84.55 |
$84.55 |
Per Month |
* The Department is seeking, and anticipates receiving approval, from CMS for these reimbursement rates. Pending approval, the rates will be effective 1/1/19.
