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-67 - Principles of Reimbursement for Nursing Facilities
Subsection 144-101-III-67-2 - REQUIREMENTS FOR PARTICIPATION IN MAINECARE PROGRAM

Current through 2024-38, September 18, 2024

2.1 Nursing facilities must satisfy all of the following prerequisites in order to be reimbursed for care provided to MaineCare members:

2.1.1 be licensed and certified by the Maine Department of Health and Human Services, pursuant to Title 22, Section1811 and 42 CFR, Part 442 , Subpart C, and

2.1.2 have a Provider/Supplier Agreement with the Department of Health and Human Services, as required by 42 CFR, Part 442 , Subpart B.

2.2 MaineCare payments shall not be made to any facility that fails to meet all the requirements of Principle 2.1.

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