[Provider] Adopted Rule: Ambulance Services

[Provider Notification]

This message is to give notice that a rule has been adopted for Ch. 101,
MaineCare Benefits Manual, Chapter II and III, Section 5, Ambulance
Services.  Adopted rules are final and no changes can be made at this
point.

 

AGENCY:   DHHS - MaineCare Services 

 

CONCISE SUMMARY:  The adopted rules reflect changes to this section to
increase Ambulance Services base rates that will include ancillary
services.  Ancillary Services, which include oxygen, oxygen
administration supplies such as disposable oxygen masks, intravenous
therapy, EKG, endotracheal intubation, pulse oximetry, telemetry and
defibrillation, will no longer be billed separately.  RN services will
also no longer be billed separately as the base rate for Specialty Care
Transport has been increased.  A definition of Specialty Care Transport
has been added.  These changes are being made so only HIPAA compliant
codes will be utilized. Other changes to this section were made to
update policy language.  

 

The proposed rule does not impose an economic burden on small business,
municipalities or counties.  

 

See  http://www.maine.gov/bms/rules/provider_rules_policies.htm for
rules and related rulemaking documents.

 

EFFECTIVE DATE:                   May 21, 2009

 

AGENCY CONTACT PERSON:  Darrell S. Wood, Health Planner

      AGENCY NAME:                        Division of Policy and
Performance

      ADDRESS:                                   442 Civic Center Drive

                                                            11 State
House Station

                                                            Augusta,
Maine 04333-0011

      TELEPHONE:                             (207)-287-6348, FAX: (207)
287-9369

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

                       

The Division of Policy posts all proposed and recently adopted rules
<http://www.maine.gov/bms/rules/provider_rules_policies.htm>  on
MaineCare's website.  This website keeps the proposed rules on file
until they are finalized and until the Secretary of State website is
updated to reflect the changes.  The MaineCare Benefit Manual is
available on-line at the Secretary of State's website
<http://www.maine.gov/sos/cec/rules/10/ch101.htm> .  

 

 

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MaineCare up to date so your Remittance Statements and checks arrive on
time.  Call Provider Enrollment at 1-800-321-5557 Option #6.  

 

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This is a one-way communication.  Do not reply to this e-mail.  Your
e-mail will not receive response.  If you have questions, please call
1-800-321-5557.  

 




 

 

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