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-71 - National Diabetes Prevention Program Service
Subsection 144-101-II-71.03 - MEMBER ELIGIBILITY

Universal Citation: 10 ME Code Rules § 144-101-II-71.03

Current through 2024-38, September 18, 2024

71.03-1 General Eligibility

Individuals must meet the eligibility and residency requirements set forth in the MaineCare Eligibility Manual, 10-144 CMR Ch. 332. Some members may have restrictions on the type and amount of services they are eligible to receive. MaineCare Providers must verify an individual's eligibility for MaineCare prior to providing services, pursuant to Chapter I, Section 1, of the MaineCare Benefits Manual (MBM), 10-144 CMR Ch. 101.

71.03-2 Program Eligibility

Providers may receive reimbursement for members participating in the National DPP LCP who meet the following criteria:

A. The member meets the participant eligibility requirements in the current DPRP Standards (see the Appendix); and

B. The member received a referral to enroll in the National DPP LCP from a physician or other qualified provider acting within his or her scope of practice.

Providers shall retain qualifying eligibility criteria and the referral in the member's record.

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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