Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter II - Specific Policies By Service › Section 144-101-II-113 - Non-Emergency Transportation (NET) Services › Subsection 144-101-II-113.13 - REIMBURSEMENT

Current through 2024-29, July 17, 2024
A. The Department pays each Broker for the
					 provision of NET services under this Section pursuant to the Department's
					 contract with the Broker.
B.
					 Transporters are paid by Brokers pursuant to Service Agreement contracts
					 entered into between these parties.
C. Transporters who have not entered into a
					 Service Agreement with a Broker (e.g., family and friends) are paid by the
					 Broker according to rates set by the Department as described in this Section.
D. The Brokers shall use the
					 following NET encounter codes to track encounter (trip) data as required under
					 the NET contract with the Department.
NET ENCOUNTER CODES
DESCRIPTION
UNIT OF SERVICE
T2003
NONEMERGENCY TRANSPORTATION;
								  ENCOUNTER/TRIP
[
PROVIDER BASE RATE (ONE WAY
								  TRIP)]
PER ONE-WAY TRIP
S0215
NONEMERGENCY TRANSPORTATION; MILEAGE,PER
								  MILE
[
Provider
(AGENCY)
								  CONTROLLED VEHICLE
]
PASSENGER MILE
S0215 Mod TK
NONEMERGENCY TRANSPORTATION; MILEAGE, PER
								  MILE
[
SHARED
RIDE
								  ON A PROVIDER (AGENCY) CONTROLLED VEHICLE
]
PER MILE
A0090
NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE
								  PROVIDED BY INDIVIDUAL (FAMILY MEMBER, SELF, NEIGHBOR) WITH VESTED
								  INTEREST
[
FAMILY VEHICLE - NON-EMERGENCY
								  TRANSPORTATION PER MILE
]
PER MILE
A0080
NONEMERGENCY TRANSPORTATION, PER MILE-VEHICLE
								  PROVIDED BY VOLUNTEER (INDIVIDUAL OR ORGANIZATION), WITH NO VESTED
								  INTEREST
[
VOLUNTEER VEHICLE - NON-EMERGENCY
								  TRANSPORTATION PER MILE
]
PER MILE
A0110
NONEMERGENCY TRANSPORTATION AND BUS, INTRA- OR
								  INTERSTATE CARRIER
ACTUAL ONE-WAY FARE
A0100
NON-EMERGENCY TRANSPORTATION- TAXI
ACTUAL ONE WAY FARE
A0110-UA
NONEMERGENCY TRANSPORATION-BUS PASS
ACTUAL ONE WAY FARE
A0160
NONEMERGENCY TRANSPORTATION: PER MILE-CASEWORKER
								  OR SOCIAL WORKER
[
STATE (EMPLOYEE) RATE - NON-EMERGENCY
								  TRANSPORTATION PER MILE
]
PER MILE
T2001
NONEMERGENCY TRANSPORTATION; PATIENT
								  ATTENDANT/ESCORT
[
ATTENDANT ON COMMON CARRIER OTHER THAN A
								  TAXI
]
ACTUAL FARE
A0170
TRANSPORTATION ANCILLARY - PARKING FEES, TOLLS,
								  OTHER [Family and Volunteer drivers may use this code.]
ACTUAL FARE
A0180
NON-EMERGENCY TRANSPORTATION - ANCILLARY -
								  LODGING - RECIPIENT
ACTUAL FARE
A0190
NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS
								  - RECIPIENT
ACTUAL FARE
A0200
NON-EMERGENCY TRANSPORTATION - ANCILLARY -
								  LODGING - ESCORT
ACTUAL FARE
A0210
NON-EMERGENCY TRANSPORTATION - ANCILLARY - MEALS
								  - ESCORT
ACTUAL FARE
T2002
NONEMERGENCY TRANSPORTATION; PER DIEM
[PROVIDER BASE RATE FOR SEVEN DAY CLINICS]
PER DAY
HOME AND COMMUNITY BASED
								  WAIVERS
T2003-U3
TRANSPORTATION (SECTION 21, iNTELLECTUAL
								  DISABILITES OR AUTISTIC DISORDERS WAIVER)
PER MILE
T2003-HA
TRANSPORTATION (Section 32 Waiver Services for
								  Children with Intellectual Disabilities or Pervasive Developmental
								  Disorders)
PER MILE
T2003-U4
TRANSPORTATION (Section 29, Support Benefits for
								  adults with Intellectual Disabilities or Autistic Disorder waiver)
PER MILE
T2003-U8
TRANSPORTATION (Section 20 Home and Community
								  Benefits (HCB) for Adults with disabilities waiver)
PER MILE
S0215-U1
TRANSPORTATION, MILEAGE PER MILE (Section 19,
								  Home and Community Based Benefits for the Elderly and for adults with
								  Disabilities waiver)
PER MILE
WHEELCHAIR VAN Providers
A0130
NON-EMERGENCY TRANSPORTATION - WHEELCHAIR
								  VAN
PER TRIP
S0209
WHEELCHAIR VAN, MILEAGE, PER MILE
[
DOOR-THROUGH-DOOR
]
PASSENGER MILE