10-148-21 Me. Code R. § 6

Current through 2024-25, June 19, 2024
Section 148-21-6 - PAYMENTS AND BILLING PROCEDURES
A.Routine Payments
1. Payments shall be made according to the established rate as set forth in Section 5 above and upon the authorization of the placement by the DHS Caseworker 2. Payments shall be made for the day of admission into the program but not the day of discharge
B.Adjustments
1. Overpayments due to revised rates shall be either
a. Deducted from future payments immediately or according to a schedule approved by the Bureau Residential Services Manager in conjunction with the Financial Manager.
b. Repaid by the Provider as a lump sum payment within one month.
2. Repayment refusal by the Provider may result in the suspension of the contract.
3. Underpayments shall be made to the Provider within one month.
4. The Provider shall submit to BCFS Reconciliation Reports every calendar quarter (due one month after the end of the quarter) based upon services provided. The Bureau provides a standard format for the Providers to use.
5. Reimbursement shall not be made to the Provider for services that are over one year old.
6. Providers may seek a review of the repayment plan established by the Bureau by contacting the Director, Division of Operations.

10-148 C.M.R. ch. 21, § 6