School administrative units who contract with a provider to provide special education related services for MaineCare eligible students with an IEP/IFSP should be aware of certain requirements concerning billing.
First, the contracted provider must be enrolled as a MaineCare school-based provider. Second, the contracted provider must bill MaineCare according to the MaineCare school-based billing guide specifically indicating that the service was provided at a school location.
All school administrative units who contract with a provider of special education related services have responsibility for the seed portion of the claims. This is handled as a deduction from state subsidy. When contracted service providers are not correctly enrolled in MaineCare as school-based or are not correctly billing for school-based services, the “seed” is not correctly assessed and goes unpaid.
Please direct any questions regarding this matter to Denise.Towers@maine.gov.