Maine Code § 22-3173-A

Reimbursement for therapy; intermediate care facilities and skilled nursing facilities
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When therapy is nonreimbursable under Title XVIII of the Social Security Act (Medicare), the
Department of Health and Human Services shall reimburse an intermediate care facility or skilled
nursing facility directly for the costs of physical and occupational therapy to individual residents or for
professional consultants, or both, to the staff of the facility in accordance with professional standards
of practice. [PL 1977, c. 646 (NEW); PL 2003, c. 689, Pt. B, §6 (REV).]
Reimbursement shall be included either as an allowable cost of operation in determining the per
diem rate or as a separate service for which the facility bills the Medical Assistance Program, whichever
method is the less costly to that program while providing adequate and timely reimbursement to the
therapist. [PL 1977, c. 646 (NEW).]
In developing regulations to administer this section, the Department of Health and Human Services
shall consult with the Maine Chapter of American Physical Therapists Association, the Maine
Occupational Therapists Association and other groups as appropriate. The regulations shall be
published within 60 days of the effective date of this section. [PL 1977, c. 646 (NEW); PL 2003, c.
689, Pt. B, §6 (REV).]

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