C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-93, subsec. 144-101-II-93.09

Current through 2025-02, January 8, 2025

Subsection 144-101-II-93.09 - BILLING INSTRUCTIONS

The OHH shall attest through a claims process that the OHH has performed the necessary "minimum billable activity" (Section 93.08) each month to receive payment for Section 93 members.

Billing for medications (93.05-5), shall be as follows:

A. When a prescription for medication is written, but not dispensed at the OHH, the dispensing pharmacy shall bill for the medication in accordance with MBM, Section 80, "Pharmacy Services".

B. When a prescription for medication is dispensed by the OHH, the OHH shall include the billing for the medication on the applicable UB or 1500 claim form.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-93, subsec. 144-101-II-93.09