10-144-101 Me. Code R. § III-18

Current through 2024-51, December 18, 2024

Section 144-101-III-18 - Allowances for Home and Community-Based Services for Adults with Brain Injury

PROCCODE	MODIFIER		DESCRIPTION		UNIT	MAXIMUM ALLOWANCE
97755	U9		Assistive Technology-Assessment		1/4 hour	$14.44
T2035	U9		Assistive Technology-Transmission (Utility Services)		Month	$50.00 per month
A9279	U9		Assistive Technology-(Monitoring feature/device, stand alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified)		Per device
T1016	U9		Care Coordination (Case Management)		1/4 hour	$ 17.00
T2015	U9		Career Planning (Habilitation, prevocational)		per hour	$ 28.00
97537	U9		Community/Work Reintegration-Individual		1/4 hour	$ 14.05
97537	U9 HQ		Community/Work Reintegration-group		1/4 hour	$ 9.37
T2019	U9		Employment Specialist Services (Habilitation, supported employment waiver)		1/4 hour	$ 7.49
T2016	U9		Home Support (Residential Habilitation)Level II		Per Diem	$ 301.39
T2016	U9 TG		Home Support (Residential Habilitation)Level III- Increased Neurobehavioral		Per Diem	$ 489.61
T2017	U9		Home Support (Residential Habilitation)Level I		1/4 hour	$ 6.33
T2017	U9QC		Home Support (Residential Habilitation)-Remote Support-Monitor Only		1/4 hour	$ 1.63
T2017	U9 GT		Home Support (Residential Habilitation)-Remote Support-Interactive Support		1/4 hour	$ 6.33
97535	U9		Self Care/Home Management Reintegration-Individual		1/4 hour	$14.52
97535	U9 HQ		Self Care/Home Management Reintegration-Group		1/4 hour	$ 9.68
S5102	U9		Work Ordered Day Club House (Adult Day Care)		Per Diem	$65.00
H2023	U9		Work Support (Supported Employment)-Individual		1/4 hour	$6.91

MODIFIERS		DESCRIPTIONS
U9		Indicates Section 18 Services
GT		Remote Support-Interactive Support
QC		Remote Support-Monitor Only
HQ		Group Setting
TG		Complex/high tech level of care

* The effective date of this rate change is retroactive to 4/15/16.

10-144 C.M.R. ch. 101, § III-18

EFFECTIVE DATE:
2/27/2017 - filing 2017- 028