Subsection 144-101-II-21.12 - REIMBURSEMENTA. Reimbursement methodology for covered services shall be the amount listed in Chapter III, Section 21, Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder or the provider's usual and customary charge, whichever is lower.B. Compliance to the authorization is determined if the average of actual delivered services fall within the range established for that setting or Member. If the average falls within the range, then billing at the approved level is authorized. If the average falls below the pre-set level, then billing must reflect the lower level of service provided.C. In accordance with Chapter I, it is the responsibility of the provider to seek payment from any other resources that are available for payment of the rendered service prior to billing MaineCare. Therefore, a service provider under this benefit is expected to seek payment from sources other than MaineCare that may be available to the Member.D. Providers of Community Support Services and Work Support-Group services will not be reimbursed for any times the Member is away from the Provider's setting, without being accompanied by a Provider staff member. The Provider must keep detailed and accurate accounting (by 15-minute increments) of when the Member is in the Provider setting, and receiving the service.E. Providers of Community Support Services and Work Support-Group will not charge additional reimbursement for any Visitors by the Member.F. DHHS will conduct a review of provider records that may include, but is not limited to, staff schedules, payroll records and Member records, to substantiate service delivery and units of authorization. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-21, subsec. 144-101-II-21.12