[Provider] Adopted Rule: Section 90, Physician Services

[Provider Notification]

ATTENTION: MaineCare Providers of Section 90 services 

 

This message is to give notice that rules have been adopted for Chapter
II Section 90, Physician's Services.  Adopted rules are final and no
changes can be made at this point.

 

 

CHAPTER NUMBER AND TITLE:  MaineCare Benefits Manual, Chapter 101, Ch
II, Section 90, Physician's Services

 

CONCISE SUMMARY:  Pursuant to 5 M.R.S.A.  Sec 8054, effective December
29, 2008, the Department is increasing the MaineCare reimbursement rate
for non-hospital based physician services from 53% to 56.94% retroactive
to July 1, 2008. This increase will not include reimbursement for
procedures performed by radiologists, radiation oncologists, and
pathologists, who currently receive a higher rate of reimbursement. No
procedure codes are decreased as a result of this rulemaking.
Furthermore, this increase does not apply to other sections of policy
within the MaineCare Benefits Manual, Chapter 101. This emergency rule
will remain in effect for 90 days while the Department promulgates rules
to permanently adopt this rate change. 

 

EFFECTIVE DATE:                          December 29, 2008

 

AGENCY CONTACT PERSON:       Nicole Rooney, Health Planner

AGENCY NAME:                              Division of Policy 

ADDRESS:                                         442 Civic Center Drive

                                                            11 State
House Station

                                                            Augusta,
Maine 04333-0011

TELEPHONE:                                   (207)-287-4460 FAX: (207)
287-9369

 

                        TTY: 1-800-423-4331 or 207-287-1828 (Deaf/Hard
of Hearing)

 

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1-800-321-5557.  

 

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