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 IV
Sec2 144-101-IV-1 - Restriction Plans
Subsection 144-101-IV-1.02 - STATEMENT OF PURPOSE
Universal Citation: 144-101-IV-1 ME Code Rules ยง 144-101-IV-1.02
Current through 2024-38, September 18, 2024
1.02-1 The purposes of the Restriction Plan are:
A. To decrease
and control over-utilization and/or abuse of MaineCare covered health care
services and/or benefits, and to minimize medically unnecessary and addictive
drug usage;
B. To establish a
method of monitoring non-emergency health care services for MaineCare members
who have utilized MaineCare health care services or benefits at a frequency or
in an amount that is not medically necessary; and
C. To assist members through education and
referral towards appropriate health care service and benefit use.
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