Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 104 - MAINE STATE SERVICES MANUAL
Sec2 144-104-6 - Independent Practice Dental Hygienist Services
Subsection 144-104-6.08 - BILLING INSTRUCTIONS

Notwithstanding section 1.07-2 of the Maine State Services Manual, the Department will reimburse for claims under this section for dates of services retroactive to October 1, 2012 and for services rendered no later than September 30, 2013, provided that the claim is submitted no later than December 31, 2014.

Billing must be done in accordance with the American Dental Association's "CDT 2014 Dental Procedure Codes" publication, the MBM Chapters II & III, Section 25, and the Department's current billing instructions. Billing instructions are available upon request or at: https://mainecare.maine.gov/Billing%20Instructions/Forms/Publication.aspx.

Billing for IPDH services provided in an FQHC should follow the billing instructions in Chapter 101, MaineCare Benefits Manual, Chapters II & III, Section 31, "Federally Qualified Health Center Services".