C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-13, subsec. 144-101-II-13.09
Reimbursement is specified in Chapter III, Section 13, Allowances for Targeted Case Management Services.
Providers of services reimbursed on a quarter hour basis under this Section will be reimbursed for any substantive contact at a minimum of fifteen (15) minutes. Providers are subject to the rounding requirements in Chapter I of the MaineCare Benefits Manual (Provider Participation).
In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from every other source that is available for payment of a rendered service before billing MaineCare.
MaineCare will pay the lowest of the following:
Payment will be made under this Section of the MaineCare Benefits Manual for case management services provided to an eligible member at any given point in time so long as the service provided is not duplicative.
All agencies that provide case management services must follow all state and federal requirements as set forth in Chapter I of the MaineCare Benefits Manual.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-13, subsec. 144-101-II-13.09