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 X
Sec2 144-101-X-4 - Limited Family Planning Benefit
Subsection 144-101-X-4.09 - BILLING INSTRUCTIONS

Billing codes that "prevent or delay pregnancy or otherwise control family size" now require an FP modifier in MIHMS.

All Limited Family Planning Benefit claim forms require a family planning diagnosis code, with the exceptions of pharmacy and laboratory claims, from the approved diagnosis codes listed on the attached Appendix A. Claims without an approved family planning diagnosis code will be denied.

Family Planning Service providers shall bill for services under this Section in accordance with the billing requirements of the Department of Health and Human Services, including use of the CMS 1500 claim form. For instructions and to download a CMS 1500 sample claim form, see the OMS "Billing Instructions" web page, available at: https://mainecare.maine.gov/Billing%20Instructions.