C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-60, subsec. 144-101-II-60.12

Current through 2024-51, December 18, 2024

Subsection 144-101-II-60.12 - BILLING INSTRUCTIONS

A. Providers must bill in accordance with the Department's "Billing Instructions for Medical Supplies and Durable Medical Equipment."

B. All claims submitted must include a primary diagnosis code.

C. Providers may not submit separate claims for DME that is considered to be part of the initially authorized equipment.

D. Providers may not bill more than a thirty-four (34) day supply at a time unless otherwise specified in this policy.

E. All claims must be submitted on a CMS 1500 claim form.

**Please be advised that there is no Chapter III for this section of policy. For information regarding reimbursement or Prior Authorizations and coding please visit: https://mainecare.maine.gov/Default.aspx which will contain a link to the HealthPAS portal. Please be advised that only MaineCare providers with a Trading Partners username and password will be able to access the HealthPAS website.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-60, subsec. 144-101-II-60.12