[Provider] Interim Guidelines for Fifteen-Minute Billing for Children's Targeted Case Management Services under MaineCare Benefits Manual Section 13.12

[Provider Notification]

ATTENTION:     MaineCare Providers Providing Children's Targeted Case
Management Services

 

Fifteen-minute billing will be in effect for Children's Targeted Case
Management Services, MBM, Section 13.12 on September 1, 2008 pursuant to
rate letters that will be issued to all current providers.

 

1.                  The Office of MaineCare Services, customer service
division will be available to answer any questions about billing.

 

2.                  Only one staff person's time is reimbursable for any
specific covered service activity during any given billing period.

 

3.                  Any and all billable activities must meet covered
services requirements.

 

4.                  All current requirements for the frequency and
provision of service remain the same.

 

5.                  All covered services must be billed on
fifteen-minute increments.

a.       There are no minimum time requirements for the first 15 minutes
of billing for a client.  

b.      Second and subsequent 15 minute encounters/activities must go
beyond 7.5 minutes to bill.

 

6.            Client eligibility, covered services, non-covered
services, documentation and staffing qualification requirements will
continue as specified under current Section 13.12 MaineCare policy. 

 

7.                  APS Healthcare instructions in response to these
changes in MaineCare are attached to this notice.

 

 

This is a one-way communication.  Please do not respond to this message.

 

 

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