10- 144 C.M.R. ch. 272, § I-D

Current through 2025-03, January 15, 2025
Section 144-272-I-D - Scope of Services

The Maine C.C.S/C.S.H.N. Program pays for major subspecialty medical care to include diagnostic, medical, surgical, corrective and therapeutic intervention for children with special health needs ages birth to eighteen when other financial resources are not available. The focus is on continuity and extension of secondary and tertiary care for the children into a community delivery system by paying for subspecialty medical treatment and assuring care coordination, individualized services based on the needs of a particular child and family, and the enabling support structure for the family. Medical eligibility is dependent on diagnosis and the verification that the chronic illness or condition interferes with effective functioning. Program funds are directed toward those low to medium income children with chronic illness, conditions and/or physical handicaps, who are financially ineligible for Medicaid, for whom subspecialty medical or therapeutic treatment intervention can prevent the progression of the disease process and improve the child's functioning where possible.

10- 144 C.M.R. ch. 272, § I-D