For these members, only the lower case management” tier of reimbursement “coordinated will be provided, regardless of phase of treatment. 93.09 BILLING INSTRUCTIONS OHH organizations must register as users on the Department Portal. The OHH’s authorized users attest that the OHH has performed the necessary billable activity” (Section 93.08) “minimum each month to receive payment for Section 93 members. Billing for medications (93.05-10), shall be as follows: When a prescription for medication is written, but not dispensed at the OHH, the dispensing pharmacy shall bill for the medication in accordance with MaineCare Benefits Section 80, Services”. Manual, “Pharmacy When a prescription for medication is dispensed by the OHH, the OHH shall include the billing for the medication on the applicable UB or 1500 claim form.
For these members, only the lower “coordinated case management” tier of reimbursement will be provided, regardless of phase of treatment. 93.09 BILLING INSTRUCTIONS OHH organizations must register as users on the Department Portal. The OHH’s authorized users attest that the OHH has performed the necessary “minimum billable activity” (Section 93.08) each month to receive payment for Section 93 members. Billing for medications (93.05-10), shall be as follows: When a prescription for medication is written, but not dispensed at the OHH, the dispensing pharmacy shall bill for the medication in accordance with MaineCare Benefits Manual, Section 80, “Pharmacy Services”. When a prescription for medication is dispensed by the OHH, the OHH shall include the billing for the medication on the applicable UB or 1500 claim form.
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