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Maine Administrative Code
Department 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICESDivision 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERALChapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)Chapter II - Specific Policies By Service
Section 144-101-II-68 - National Diabetes Prevention Program Service
Subsection 144-101-II-68.10 - REIMBURSEMENT

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-68, subsec. 144-101-II-68.10

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Current through 2024-51, December 18, 2024
Subsection 144-101-II-68.10 - REIMBURSEMENT

The amount of payment for services rendered shall be the lowest of the following:

1. The amount for services is listed in Chapter III, Section 68, "Allowances for Occupational Therapy Services" of the MaineCare Benefits Manual.
2. The lowest amount allowed by the Medicare carrier.
3. The provider's usual and customary charge.

See section 68.06-5 for reimbursement for splinting supplies.

In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from any other resources that are available for payment of a rendered service prior to billing MaineCare.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-68, subsec. 144-101-II-68.10