C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-109, subsec. 144-101-II-109.10

Current through 2024-51, December 18, 2024

Subsection 144-101-II-109.10 - REIMBURSEMENT

The maximum amount of payment for services rendered is the lowest of the following:

A. The provider's usual and customary charge,

B. The amount listed in Chapter III, Section 109 of the MaineCare Benefits Manual,

C. The lowest amount allowed by Medicare Part B, when applicable.

In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from any other resources that are available for payment of the rendered service prior to billing MaineCare.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-109, subsec. 144-101-II-109.10