This section of Maine's MaineCareBenefits Manual (Chapter III) establishes the procedure codes and maximum reimbursement rates for rehabilitative services, including clinical assessments, neurobehavioral rehabilitation, and community/work reintegration services. It functions as a fee schedule for Medicaid billing purposes rather than a facility licensing or operating standards rule. Compliance staff should use these rates when billing MaineCareBenefits for the listed rehabilitative procedure codes.
View official source10-144 Ch. 101 MAINECARE BENEFITS MANUAL CHAPTER III SECTION 102 REHABILITATIVE SERVICES ESTABLISHED 8/1/90 LAST UPDATED 4/1/10 Effective MIMHS implementation, the following codes and rates are in effect: ALLOWED AGE PROC CODE Procedure Code DESCRIPTION MAXIMUM ALLOWANCE ALL AGES 96150 Clinical Assessment-Initial $20.64/ 15 MINUTES ALL AGES 96151 Clinical Reassessment $20.36/15 MINUTES ALL AGES 97532 Intensive Integrated Neurorehabilitation $26.02/ 15 MINUTES ALL AGES 96152 Neurobehavioral Rehabilitation- 1:1 with member $20.98/ 15 MINUTES ALL AGES 96153 Neurobehavioral Rehabilitation- group $20.91/ 15 MINUTES ALL AGES 96154 Neurobehavioral Rehabilitation- family $20.07/15 MINUTES ALL AGES 97535 Self Care/Home Management Reintegration $14.39/ 15 MINUTES ALL AGES 97535 HQ Self Care/Home Management Reintegration- group $ 14.39/ 15 MINUTES ALL AGES 97537 Community/Work Reintegration $ 14.05/ 15 MINUTES ALL AGES 97537 HQ Community/Work Reintegration- group $ 14.05/ 15 MINUTES