C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-102, subsec. 144-101-II-102.04
Current through 2024-44, October 30, 2024
MaineCare will only cover medically necessary services for eligible members. Covered services are subject to utilization review (UR), as well as the limits in Section 102.06. Rehabilitative services are covered for an approved period for each eligible MaineCare member. Beginning and end dates of the member's approved service period correspond to beginning and end dates for MaineCare reimbursement. MaineCare coverage will end on the period end date unless the Department or its Authorized Agent has authorized a new period. The Department reserves the right to request additional information to evaluate medical necessity.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-102, subsec. 144-101-II-102.04