Current through 2024-44, October 30, 2024
Subsection 351-5-1-02 - PAYMENT CALCULATION1. Pursuant to Title 39-A M.R.S.A. §209-A, the Board has adopted this medical fee schedule which reflects the payment methodology developed by the federal Centers for Medicare and Medicaid Services. The Board has not adopted all components used by the federal Centers for Medicare and Medicaid Services. Therefore, the application of any fee schedule, payment system, claims processing rule, edit or other method of determining the reimbursement level for a service(s) not expressly adopted in this chapter is prohibited.2. Payment is based on the fees in effect on the date of service. C.M.R. 90, 351, ch. 5, § 351-5-1, subsec. 351-5-1-02