Care at Home

MaineHealth Care at Home Fees - Effective 4/12/2023

Procedure
Code 
Home Care Fee
G0299 Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, up to 2 hours   $210
G0299 Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each additional hour after the first 2 hours $60
G0300 Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, up to 2 hours $151
G0300 Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each additional hour after the first 2 hours $60
S9110 Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month $210
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each visit $217
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each visit $130
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each visit $200
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each visit $310
G0155 Services of clinical social worker in home health or hospice settings, each visit $190
G0156 Services of home health/hospice aide in home health or hospice settings, up to 2 hours $105
G0156 Services of home health/hospice aide in home health or hospice settings, for each additional hour after the first 2 hours $35
G8780 Counseling for diet and physical activity performed $120
Procedure
Code 
Hospice Care Fee
Q5001 Hospice or home health care provided in patient's home/residence (1-60 days) $225
Q5002 Hospice or home health care provided in assisted living facility (1-60 days) $225
Q5003 Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (1-60 days) $225
Q5001 Hospice or home health care provided in patient's home/residence (61+ days) $175
Q5002 Hospice or home health care provided in assisted living facility (61+ days) $175
Q5003 Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility (61+ days) $175
Q5001 Continuous Hospice or home health care provided in patient's home/residence $65
Q5002 Continuous Hospice or home health care provided in assisted living facility $65
Q5003 Continuous Hospice care provided in nursing long term care facility (LTC) or non-skilled nursing facility $65
Q5009 Continuous Hospice or home health care provided in place not otherwise specified $65
Q5010 Continuous Hospice or home health care provided in hospice residential facility $65
Q5005 Inpatient Respite Care in inpatient hospital $495
Q5006 Inpatient Respite Care in inpatient hospice facility $495
Q5005 General Inpatient Care in inpatient hospital $1,115
Q5006 General Inpatient Care in inpatient hospice facility $1,115