MaineCare Policy Adoption - Ch. III, Section 15, Chiropractic Services - August 1, 2016

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The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website

Below, please find a Notice of Agency Rule-making Adoption.  You can access the complete rule at http://www.maine.gov/dhhs/oms/rules/index.shtml


 

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE:  10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (MBM), Chapter III, Section 15, Chiropractic Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY: This rule is being adopted to update current billing practices by removing the basic value language that utilizes the units system and replaces the units with rates. Additionally, chiropractic codes were updated to align with current 2016 CPT codes. These changes include the elimination of code 72090 and the addition of codes 72081, 72082, 72083, and 72084.

On March 16, 2016, the Department submitted proposed State Plan Amendment changes to the Centers for Medicare and Medicaid Services (CMS), with a requested retroactive effective date of January 1, 2016. Those changes remain pending.

http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.

EFFECTIVE DATE:                          Retroactive to January 01, 2016

AGENCY CONTACT PERSON       Cari Bernier, Comprehensive Health Planner

AGENCY NAME:                              Division of Policy

ADDRESS:                                         242 State Street

                                                            11 State House Station

                                                            Augusta, Maine 04333-0011

EMAIL:                                              Cari.Bernier@maine.gov

TELEPHONE:                                   (207)-624-4031 FAX: (207)-287-1864

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