Current through 2024-51, December 18, 2024
Subsection 144-101-II-7.08 - REIMBURSEMENTA. The amount of payment for services rendered by a dialysis center shall be the facility composite rate. Medically necessary items or services that are not included in the composite rate may be billed and reimbursed in accordance with other sections of MaineCare policy (e.g., laboratory services, pharmacy services, physician services, etc.); however, non-composite items or services must be documented on the same claim form as the composite services.B. 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 the rendered service prior to billing the MaineCare Program. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.08