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-96 - Private Duty Nursing and Personal Care Services
|
PROCEDURE CODE |
DESCRIPTION |
UNIT |
AMOUNT Effective 7/29/16 to 2/21/17 |
AMOUNT Effective 2/22/17 to 6/30/17 and 7/1/18 to 7/31/18 |
AMOUNT Effective 7/1/17 to 6/30/18 |
AMOUNT Effective 8/1/18 to 6/30/19 |
AMOUNT Effective 7/1/19 |
|
G0299 TD 0551 |
RN Services |
15 minutes |
$12.16 |
$12.16 |
$13.47 |
$13.88 |
$13.74 |
|
G0299 TD UN 0551 |
RN Services -multiple patients (2) |
15 minutes |
$6.94 |
$6.69 |
$7.41 |
$7.63 |
$7.56 |
|
G0299 TD UP 0551 |
RN Services - multiple patients (3) |
15 minutes |
N/A |
$4.87 |
$5.39 |
$5.55 |
$5.50 |
|
G0300 TE 0559 |
LPN Services |
15 minutes |
$8.04 |
$8.04 |
$9.56 |
$9.90 |
$9.75 |
|
G0300 TE UN 0559 |
LPN Services - multiple patients (2) |
15 minutes |
$4.74 |
$4.43 |
$5.27 |
$5.45 |
$5.37 |
|
G0300 TE UP 0559 |
LPN Services - multiple patients (3) |
15 minutes |
N/A |
$3.21 |
$3.83 |
$3.96 |
$3.90 |
|
T1000 TD |
Independent RN |
15 minutes |
$10.96 |
$10.96 |
$13.47 |
$13.88 |
$13.74 |
|
T1000 TD UN |
Independent RN - multiple patients (2) |
15 minutes |
$6.13 |
$6.03 |
$7.41 |
$7.63 |
$7.56 |
|
T1000 TD UP |
Independent RN- multiple patients (3) |
15 minutes |
N/A |
$4.39 |
$5.39 |
$5.55 |
$5.50 |
|
T1502 |
Administration of oral, intramuscular and/or subcutaneous medication |
Per visit |
$6.32 |
$6.32 |
$6.32 |
$8.09 |
$7.42 |
|
T1004 0571 |
Home Health Aide/ Certified Nursing Assistant Services |
15 minutes |
$4.90 |
$4.90 |
$5.39 |
$5.55 |
$5.50 |
|
T1004 UN 0571 |
Home Health Aide/Certified Nursing Assistant Services - multiple patients (2) |
15 minutes |
N/A |
$2.70 |
$2.97 |
$3.05 |
$3.03 |
|
T1004 UP 0571 |
Home Health Aide/Certified Nursing Assistant Services - multiple patients (3) |
15 minutes |
N/A |
$1.96 |
$2.16 |
$2.22 |
$2.20 |
|
T1019 0589 |
Personal Support Services (PSS) |
15 minutes |
$4.62 |
$4.62 |
$5.03 |
$5.18 |
$5.13 |
|
T1019 |
Personal Support Services (PSS) - (for PCA Agencies only) |
15 minutes |
$4.62 |
$4.62 |
$5.03 |
$5.18 |
$5.13 |
|
T1019 UN |
Personal Support Services (PSS) - (for PCA Agencies only) multiple patients (2) |
15 minutes |
N/A |
$2.54 |
$2.77 |
$2.85 |
$2.82 |
|
T1019 UP |
Personal Support Services (PSS) - (for PCA Agencies only) multiple patients (3) |
15 minutes |
N/A |
$1.84 |
$2.01 |
$2.07 |
$2.05 |
|
S5125 TF 0589 |
PCA Supervisit |
15 minutes |
$5.10 |
$5.10 |
$21.14 Per visit |
$23.51 per visit |
$21.57 per visit |
|
S5125 TF UN 0589 |
PCA Supervisit - multiple patients (2) |
15 minutes |
N/A |
$2.81 |
$11.64 per visit |
$12.93 per visit |
$11.87 per visit |
|
S5125 TF UP 0589 |
PCA Supervisit - multiple patients (3) |
15 minutes |
N/A |
$2.04 |
$8.46 per visit |
$9.40 per visit |
$8.63 per visit |
|
S5125TF |
PCA Supervisit (for PCA Agencies only) |
15 minutes |
$5.10 |
$5.10 |
$21.14 per visit |
$23.51 per visit |
$21.57 per visit |
|
S5125 TF UN |
PCA Supervisit (for PCA Agencies only) multiple patients (2) |
15 minutes |
N/A |
$2.81 |
$11.64 per visit |
$12.93 per visit |
$11.87 per visit |
|
S5125 TF UP |
PCA Supervisit (for PCA Agencies only) multiple patients (3) |
15 minutes |
N/A |
$2.04 |
$8.46 per visit |
$9.40 per visit |
$8.63 per visit |
|
S5125 |
Personal Support Services (FPSO) |
15 minutes |
$3.72 |
$3.72 |
$3.72 |
$3.73 |
$3.73 |
|
S5125 UN |
Personal Support Services (FPSO) multiple patients (2) |
15 minutes |
N/A |
$2.04 |
$2.04 |
$2.05 |
$2.05 |
|
S5125 UP |
Personal Support Services (FPSO) multiple patients (3) |
15 minutes |
N/A |
$1.49 |
$1.49 |
$1.49 |
$1.49 |
|
H2014 |
Skills Training (FPSO only) |
15 minutes |
$14.03 |
$14.03 |
$14.03 |
$14.03 |
$14.03 |
|
G9001 |
Care Coordination Service (Initial Visit) |
15 minutes |
$17.00 |
$17.00 |
$17.00 |
$17.00 |
$17.00 |
|
G9002 |
Care Coordination Service (Maintenance Visit) |
15 minutes |
$17.00 |
$17.00 |
$17.00 |
$17.00 |
$17.00 |
|
S5120 |
Chore Services |
15 minutes |
$2.30 |
$2.30 |
$2.30 |
$2.30 |
$2.30 |
