C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-109, subsec. 144-101-II-109.06

Current through 2024-51, December 18, 2024

Subsection 144-101-II-109.06 - SETTING

MaineCare will reimburse speech and hearing services when provided in appropriate settings. Approved settings for these services are the practitioners' office, speech and hearing agencies, members' homes, and schools for members under age 21.

Services may be provided in an alternative setting at the practitioner's discretion when the following conditions are met:

1. The services are medically necessary.

2. The setting is conducive to the services being provided.

For speech and hearing services provided in a nursing facility or an ICF-MR by a speech-language pathologist or audiologist, refer to Chapter II, Section 67, "Nursing Facility Services", or Section 50, "ICF-MR Services".

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-109, subsec. 144-101-II-109.06