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-68 - National Diabetes Prevention Program Service
Subsection 144-101-II-68.11 - COPAYMENT
Current through 2024-38, September 18, 2024
Note: Requirements regarding co-payment disputes and exemptions are contained in Chapter I of the MaineCare Benefits Manual.
1. A copayment will be charged to each MaineCare member receiving services, with the exception of those exempt, as specified in the MaineCare Eligibility Manual, such as children. The amount of the copayment shall not exceed $2.00 per day for services provided, according to the following schedule:
| MaineCare Payment for Service | Member Copayment |
| $10.00 or less | $ .50 |
| $10.01 - 25.00 | $1.00 |
| $25.01 or more | $2.00 |
2. The member is responsible for copayments up to $20.00 per month whether the copayment has been paid or not. After the $20.00 cap has been reached, the member will not be required to make additional copayments and the provider will receive full MaineCare reimbursement for covered services.
