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-95 - Podiatric Services
Subsection 144-101-II-95.02 - ELIGIBILITY FOR CARE
Current through 2024-38, September 18, 2024
Individuals must meet the financial eligibility criteria as set forth in the MaineCare Eligibility Manual. Some members may have restrictions on the type and amount of services they are eligible to receive. It is the responsibility of the provider to verify a member's eligibility for MaineCare prior to furnishing services as indicated in Chapter I of the MaineCare Benefits Manual.
Medical Eligibility Requirements
After an initial visit, podiatric care will only be covered for a member who meets all of the following requirements:
1. Has any illness, diagnosis or condition that if left untreated may cause loss of function or may risk loss of limb; and
2. For whom self-care or foot care by a nonprofessional person would be hazardous and pose a threat to the member's condition.
