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-5 - AMBULANCE SERVICES
Subsection 144-101-II-5.07 - COPAYMENT
Current through 2024-38, September 18, 2024
A. A copayment will be charged to each MaineCare member receiving services.The amount of the copayment shall not exceed $3.00 per day for services provided, according to the following schedule:
| MaineCare Payment for Service | Member Copayment |
| $10.00 or less | $0.50 |
| $10.01 | - 25.00 $1.00 |
| $25.01 | - 50.00 $2.00 |
| $50.01 |
B. The member shall be responsible for copayments up to $30.00 per month whether the copayment has been paid or not. After the $30.00 cap has been reached, the member shall not be required to make additional copayments and the provider shall receive full MaineCare reimbursement for covered services.
See Chapter I, Section 1 of the MaineCare Benefits Manual for additional information oncopayments, including exemptions and dispute resolution.
