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Maine Administrative Code
Department 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICESDivision 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERALChapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)Chapter II - Specific Policies By Service
Section 144-101-II-113 - Non-Emergency Transportation (NET) Services
Subsection 144-101-II-113.13 - REIMBURSEMENT

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-113, subsec. 144-101-II-113.13

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Current through 2024-44, October 30, 2024
Subsection 144-101-II-113.13 - REIMBURSEMENT
A. The Department pays each Broker for the provision of NET services under this Section pursuant to the Department's contract with the Broker.
B. Transporters are paid by Brokers pursuant to Service Agreement contracts entered into between these parties.
C. Transporters who have not entered into a Service Agreement with a Broker (e.g., family and friends) are paid by the Broker according to rates set by the Department as described in this Section.
D. The Brokers shall use the following NET encounter codes to track encounter (trip) data as required under the NET contract with the Department.

NET ENCOUNTER CODES

DESCRIPTION

UNIT OF SERVICE

T2003

NONEMERGENCY TRANSPORTATION; ENCOUNTER/TRIP

[PROVIDER BASE RATE (ONE WAY TRIP)]

PER ONE-WAY TRIP

S0215

NONEMERGENCY TRANSPORTATION; MILEAGE,PER MILE

[Provider(AGENCY) CONTROLLED VEHICLE]

PASSENGER MILE

S0215 Mod TK

NONEMERGENCY TRANSPORTATION; MILEAGE, PER MILE

[SHAREDRIDE ON A PROVIDER (AGENCY) CONTROLLED VEHICLE]

PER MILE

A0090

NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE PROVIDED BY INDIVIDUAL (FAMILY MEMBER, SELF, NEIGHBOR) WITH VESTED INTEREST

[FAMILY VEHICLE - NON-EMERGENCY TRANSPORTATION PER MILE]

PER MILE

A0080

NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZATION), WITH NO VESTED INTEREST

[VOLUNTEER VEHICLE - NON-EMERGENCY TRANSPORTATION PER MILE]

PER MILE

A0110

NONEMERGENCY TRANSPORTATION AND BUS, INTRA- OR INTERSTATE CARRIER

ACTUAL ONE-WAY FARE

A0100

NON-EMERGENCY TRANSPORTATION- TAXI

ACTUAL ONE WAY FARE

A0110-UA

NONEMERGENCY TRANSPORATION-BUS PASS

ACTUAL ONE WAY FARE

A0160

NONEMERGENCY TRANSPORTATION: PER MILE-CASEWORKER OR SOCIAL WORKER

[STATE (EMPLOYEE) RATE - NON-EMERGENCY TRANSPORTATION PER MILE]

PER MILE

T2001

NONEMERGENCY TRANSPORTATION; PATIENT ATTENDANT/ESCORT

[ATTENDANT ON COMMON CARRIER OTHER THAN A TAXI]

ACTUAL FARE

A0170

TRANSPORTATION ANCILLARY - PARKING FEES, TOLLS, OTHER [Family and Volunteer drivers may use this code.]

ACTUAL FARE

A0180

NON-EMERGENCY TRANSPORTATION - ANCILLARY - LODGING - RECIPIENT

ACTUAL FARE

A0190

NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS - RECIPIENT

ACTUAL FARE

A0200

NON-EMERGENCY TRANSPORTATION - ANCILLARY - LODGING - ESCORT

ACTUAL FARE

A0210

NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS - ESCORT

ACTUAL FARE

T2002

NONEMERGENCY TRANSPORTATION; PER DIEM

[PROVIDER BASE RATE FOR SEVEN DAY CLINICS]

PER DAY

HOME AND COMMUNITY BASED WAIVERS

T2003-U3

TRANSPORTATION (SECTION 21, iNTELLECTUAL DISABILITES OR AUTISTIC DISORDERS WAIVER)

PER MILE

T2003-HA

TRANSPORTATION (Section 32 Waiver Services for Children with Intellectual Disabilities or Pervasive Developmental Disorders)

PER MILE

T2003-U4

TRANSPORTATION (Section 29, Support Benefits for adults with Intellectual Disabilities or Autistic Disorder waiver)

PER MILE

T2003-U8

TRANSPORTATION (Section 20 Home and Community Benefits (HCB) for Adults with disabilities waiver)

PER MILE

S0215-U1

TRANSPORTATION, MILEAGE PER MILE (Section 19, Home and Community Based Benefits for the Elderly and for adults with Disabilities waiver)

PER MILE

WHEELCHAIR VAN Providers

A0130

NON-EMERGENCY TRANSPORTATION - WHEELCHAIR VAN

PER TRIP

S0209

WHEELCHAIR VAN, MILEAGE, PER MILE

[DOOR-THROUGH-DOOR]

PASSENGER MILE

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-113, subsec. 144-101-II-113.13