Current through 2024-46, November 13, 2024
Subsection 144-101-III-107-2 - REQUIREMENTS FOR PARTICIPATION IN MAINECARE PROGRAM2.1Psychiatric Residential Treatment Facilities (PRTFs) must satisfy all of the following prerequisites in order to be reimbursed for care provided to MaineCare members: 2.1.1 be licensed and certified by the Maine Department of Health and Human Services-Center for Disease Control and Prevention, pursuant to 22 M.R.S. §8101(4-B) and 42 CFR, Part 441, Subpart D, and 107.2-1.2 have a MaineCare Provider Agreement with the Department of Health and Human Services.2.1.2MaineCare payments shall not be made to any facility that fails to meet all the requirements of Principle 2.1.2.1.3Medical, Clinical, and Direct Care Services means services provided by a qualified provider directly to a member in a PRTF as outlined in Chapter II, Section 107 in accordance with covered services described in Chapter II Section 107. C.M.R. 10, 144, ch. 101, ch. III, 144-101-III-107, subsec. 144-101-III-107-2