C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-12, subsec. 144-101-II-12.09

Current through 2024-51, December 18, 2024

Subsection 144-101-II-12.09 - REIMBURSEMENT

A. Reimbursement for covered services shall be the lower of the following:

1. The amount listed in Chapter III, Section 12, "Allowances for Consumer-Directed Attendant Services;"

2. The lowest amount listed by Medicare; or

3. The Service Coordination Agency's usual and customary charge.

In accordance with Chapter I, it is the responsibility of the provider to seek payment from any other sources that are available for payment of the rendered services prior to billing MaineCare.

Reimbursement under this Section is subject to the unit rounding requirements and other reimbursement requirements listed in Chapter I of the MaineCare Benefits Manual.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-12, subsec. 144-101-II-12.09