C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-107, subsec. 144-101-III-107-20

Current through 2024-44, October 30, 2024
Subsection 144-101-III-107-20 - SPECIAL SERVICE ALLOWANCE
20.1Principle. A special ancillary service is to be distinguished from a service generally provided in the PRTF.
20.1.1 A special ancillary service is that of an individual nature required in the case of a specific resident. This type of service includes, but not limited to professional services such as physical therapy, occupational therapy, and speech and hearing services. Special services of this nature must be billed through the appropriate Section of the MaineCare Members Benefit Manual required for the care of individual members.
20.1.2 Board Certified Behavior Analyst (BCBA) consultation with Prior Authorization.
20.1.3 Interpreter Services to address any existing or newly diagnosed physical health conditions when medically necessary as outlined in Chapter 1 of the MaineCare Members Benefits Manual.
20.1.4 Medical Services to address any existing or newly diagnosed physical health conditions when medically necessary and cannot be provided at the PRTF.

C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-107, subsec. 144-101-III-107-20