Subsection 144-101-II-17.10 - REIMBURSEMENT17.10-1Rates. Reimbursement is specified in the MaineCare Benefits Manual Chapter III, Section 17. 17.10-2Services Provided in a Group. When Community Support Services are provided in a group, one or two Community Support Providers may facilitate the session, as appropriate. However, only one facilitator may bill for the members participating in that group.17.10-3Reimbursement Allowances. In accordance with Chapter I of the MaineCare Benefits Manual, it is the responsibility of the provider to seek payment from every other source that is available for payment of a rendered service before billing MaineCare. MaineCare will pay the lowest of the following:
A. The fee established by MaineCare;B. The lowest payment allowed by Medicare; orC. The provider's usual and customary charge.17.10-4Exemption from Rounding. Providers of services under this Section will be reimbursed for any substantive contact at a minimum of fifteen (15) minutes. After the initial fifteen (15) minutes providers are subject to the rounding requirements in Chapter I of the MaineCare Benefits Manual. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-17, subsec. 144-101-II-17.10