C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-23, subsec. 144-101-II-23.08

Current through 2024-51, December 18, 2024

Subsection 144-101-II-23.08 - BILLING INSTRUCTIONS

A. Providers must bill in accordance with the Department's billing instructions for the CMS1500 claim form.

B. CHA Billing Instructions

1. CHA Initial Assessment Bundled Payment

Providers may bill for the CHA initial assessment once they submit the CHA final report. The bundled payment for the CHA initial assessment includes reimbursement for the medical exam component and the CHA final report.

2. CHA Follow-up Evaluation Bundled Payment

Providers may bill for the CHA follow-up evaluation once they complete the follow-up evaluation and submit reports to the Department. The bundled payment for the CHA follow-up evaluation includes reimbursement for the medical exam component and the medical report.

3. CHA Psychosocial Evaluation Component Reimbursement

Providers must deliver and bill for the services that make up the psychosocial component of the CHA in accordance with the applicable section of the MBM.

Billing instructions are available upon request or from the Department's website at: https://mainecare.maine.gov/Billing%20Instructions/Forms/Publication.aspx

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-23, subsec. 144-101-II-23.08