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 II - Specific Policies By Service
Section 144-101-II-102 - Rehabilitative Services
Subsection 144-101-II-102.04 - DURATION OF CARE

Current through 2024-38, September 18, 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.

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