[Provider] MaineCare Is Increasing Rates for Ostomy Supplies

[Provider Notification]

ATTENTION:   MaineCare providers of ostomy supplies

 

MaineCare will increase rates for certain ostomy supplies retroactive to
January 1, 2008.  

 

Code

Description

New MaineCare rate

Effective 1/1/08

A5061

Pouch drainable

4.69

A4385

Skin barrier

6.30

A4363

Ostomy clamp

2.01

A4409

Skin barrier

7.77

A4425

Ostomy pouch drain

3.58

A4393

Urine pouch

11.34

A4390

Drainable pouch

11.88

A4423

Ostomy pouch for bar with filter

1.86

A4414

Ostomy skin barrier w/o con

6.16

A5063

Drain ostomy pouch with flange

5.52

A5073

Urinary pouch on barrier with flange

$7.87

 

Providers should bill their usual and customary charge.  If their usual
and customary was higher than MaineCare's previous rates, providers
should file adjustments for 2008 claims already filed.  Claims yet to be
filed will use the new rate as the maximum.  

 

Questions?  Contact MaineCare Customer Service at 1-800-321-5557.  

 

 

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

 

 

 

 

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