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-67-20 - SPECIAL SERVICE ALLOWANCE
Universal Citation: 10 ME Code Rules ยง 144-101-III-67-20
Current through 2024-38, September 18, 2024
20.1 Principle. A special ancillary service is to be distinguished from a service generally provided in the nursing facility.
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 is limited to professional services such as physical therapy,
occupational therapy, and speech and hearing services. Special services of this
nature must be billed monthly to the Department as separate items required for
the care of individual members.
20.1.2 For eligible members, including those
with other related conditions, the Department will reimburse community support
services for persons with Development Disabilities in accordance with Chapter
III, Section
21, Home and Community
Benefits for Members with Mental Retardation or Autistic Disorder. The costs
associated with community support are not included in the nursing facility per
diem rate.
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