Current through 2024-51, December 18, 2024
Subsection 144-101-II-89.10 - BILLING INSTRUCTIONSA. The MaineMOM provider shall attest through a claims process that the MaineMOM provider has performed the necessary minimum billable requirements (Section 89.09-1) each month to receive payment for Section 89 members.B. Billing for medications (Section 89.05-4), shall be as follows: 1. When a prescription for medication is written, but not dispensed at the MaineMOM provider, the dispensing pharmacy shall bill for the medication in accordance with MBM, Section 80, "Pharmacy Services".2. When a prescription for medication is dispensed by the MaineMOM provider, the MaineMOM provider shall include the billing for the medication on the applicable UB or 1500 claim form. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-89, subsec. 144-101-II-89.10