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
Universal Citation: 10 ME Code Rules ยง 144-101-II-113.04
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.
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