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-67 - Nursing Facility Services
Subsection 144-101-II-67.03 - DURATION OF CARE

Eligible Title XIX and XXI members are entitled to receive as many days of NF services as are medically necessary as long as the member meets the eligibility for care requirements set forth under Section 67.02, or otherwise meets the exception specified under 67.05-1 (G). MaineCare coverage of NF services requires prior approval from the Department or its Authorized Entity. Beginning and end dates of an individual's eligibility period corresponds to the beginning and end dates for MaineCare reimbursement. The Department, or its Authorized Entity may grant eligibility for NF services on a short or long term basis, based upon the complexity, frequency and length of time that services are needed.

The Department, or its Authorized Entity may, at any time, review an individual's need for NF services.