Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 272 - COORDINATED CARE SERVICES FOR CHILDREN WITH SPECIAL HEALTH NEEDS
Chapter V - C.C.S./C.S.H.N. PROGRAM POLICIES
Section 144-272-V-B - PROCEDURES FOR PAYMENT OF SERVICES
Current through 2024-38, September 18, 2024
1. Payment to prior authorized providers will be made in accordance with the rates established for the Medicaid program within one year of the provision of the prior authorized services. In those instances in which the services authorized are not included in the Medicaid fee schedules, the amount to be paid must be agreed upon by the C.C.S/C.S.H.N. Program prior to authorization.
2. Providers must complete and submit the appropriate state billing form to Medicaid in accordance with the Maine Medicaid billing instructions, within one year of the provision of the prior authorized services. Providers must collect payment from other available insurance prior to billing C.C.S./C.S.H.N. Program and must accept payments made by Coordinated Care Services For Children With Special Health Needs as payment in full.
3. All occupational, physical, and speech/language therapy services must be physician approved and included in the subspecialist's plan of care. Therapy services are prior authorized in units of thirty minute intervals; for services rendered in less than 30 minute intervals, authorized providers will prorate and bill accordingly.
