Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter I - Specific Policies By Service
Sec2 144-101-I-1 - GENERAL ADMINISTRATIVE POLICIES AND PROCEDURES
Subsection 144-101-I-1.19 - TERMINATION FROM PARTICIPATION IN MAINECARE

The Department may terminate a provider's participation, or the provider may terminate participation in MaineCare, without cause. The terminating party must send written notification of the termination at least thirty (30) days prior to the effective date of termination. Providers must send this notification to the Director of Compliance, MaineCare Services, Department of Health and Human Services, 11 State House Station, Augusta, Maine 04333-0011.

Primary care providers must also abide by the termination regulations set forth in the Primary Care Case Management Policy.

The Department may terminate MaineCare participation of a provider immediately by giving written notice to the provider if the Department reasonably believes that conditions exist that place the health and safety of members in immediate jeopardy. The provider will be given the opportunity for an informal review after the effective date of the emergency termination. A request for an informal review must be made within seven (7) days of the date of the receipt of the termination notice, or an informal review shall be deemed waived. Any administrative hearing or informal review will be scheduled after the effective termination date and the transfer of members.