[Provider] MaineCare Proposed Rule for Residential Care Facilities

[Provider Notification]

ATTENTION:  MaineCare Providers of Residential Care

This is notice of a proposed rule for Chapter 115, Principles of
Reimbursement for Residential Care Facilities- Room and Board Costs

 

Concise Summary   

This proposed rule will permanently adopt language in Chapter 115,
Principles of Reimbursement for Residential Care Facilities- Room and
Board Costs that currently only allows bedhold hold reimbursement when
an associated PNMI treatment cost has also been billed under MaineCare.
Providers billing for PNMI room and board costs under Chapter 115 (PNMI
Appendices C and F only) will still be able to bill up to thirty (30)
bedhold days per calendar year when a member is absent from the
facility.  The codes used for this billing continue to be reimbursed
with the billing codes "BL" and "MRBL." This will allow for continued
reimbursement of some routine fixed costs that are not eliminated when
the member is temporarily absent from the facility.  These funds are
reimbursed by all state dollars, and are not matched with reimbursement
from the federal Medicaid program

 

Public Hearing

September 17, 2008 at 1:00 pm 

Department of Health and Human Services

Office of MaineCare Services

442 Civic Center Drive

Augusta, ME 

 

Deadline for Comments 

Comments must be received by midnight September 28, 2008

 

Agency Contact Person       

Patricia Dushuttle

Manager, Division of Policy and Performance

 

 

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

 

 

 

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