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-113 - Non-Emergency Transportation (NET) Services
Subsection 144-101-II-113.04 - COVERED TRANSPORTATION SERVICES

Current through 2024-52, December 25, 2024

113.04-1 Covered Transportation services include:

A.Non-emergency transportation to covered MaineCare services. The Broker must ensure the availability of wheelchair-accessible vehicles. The Broker may utilize wheelchair van companies, taxis, other agency vehicles, or family, friends or volunteers with vehicles that meet wheelchair accessibility standards and the individual Member's mobility needs.

B.Transportation to a pharmacy to obtain MaineCare covered medication.

C. Related travel expenses, such as meals and lodging. In addition to the provision and reimbursement of transportation services, the Broker, at its sole expense, must cover and reimburse related travel expenses in providing NET services. However, the Broker shall not reimburse related travel expenses when NET services are provided to transport a Member to a medical service that requires prior authorization in writing by the Department, and for which prior authorization was either not obtained or denied.

D. Minor Traveling with Adult Members: There may be times when an adult Member requests to allow a minor to accompany the Member to an appointment, not as an Escort, but because the Member does not have alternate childcare available. If there is room or an available seat, the Broker will allow a child or children to be transported with the adult Member who requires the MaineCare service.

E. Inpatient minors: A parent, foster parent or guardian is eligible to be transported to visit his or her MaineCare or Member minor child (age 17 or younger) who is an inpatient of a hospital, whether or not the parent is MaineCare eligible him or herself. These trips are limited to the child's period of hospitalization. Transportation of individuals who are not MaineCare Members should be reported under the minor child's MaineCare eligibility number. Transportation to visit an inpatient adult MaineCare Member is not covered.

113.04-2 Types of Covered Transportation:

Types of Covered Transportation services include:

A. Public transportation, including buses, trains and ferries;

B. Family, friends, and volunteers;

C. Commercial taxis;

D. Agency vehicle: A multiple passenger vehicle operated by a public, private nonprofit, or private for profit agency;

E. Wheelchair transport; and

F. Other specialized vehicles used to provide para transit services.

Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.